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Dr. Edwards CV
Dr. Edwards Publications
I have been informed and understand that Dr. Edwards and the staff of Bio Health Center practice Homeopathic, Nutritional, Orthromolecular, Neural Therapeutic, Herbal, Neuro-Integrative and Preventive Medicine under licensing authority of the Nevada Board of Homeopathic Medical Examiners. I understand that the determination as to whether any and all medical/health services provided are "covered" by my private insurance/health plan will be made after these services have been provided. I understand that I am fully responsible for payment for any and all medical/health services provided by Edwards/Malik and I will attest in writing to this at each visit. I understand that payment is due at the time of service unless specific arrangements were made in advance and that credit can be obtained by using Mastercard or Visa. I understand that any outstanding balance owed will be subject to a 1.5% monthly interest charge.
NOTICE TO ALL MEDICARE PATIENTS - ACKNOWLEDGMENT
I have been informed that MEDICARE does NOT COVER ANY SERVICES provided by Edwards/Malik, including medical acupuncture, homotoxicology, nutritional therapy, electro-acupuncture, chelation therapy, neural therapy, bio-oxidative therapy, and/or preventive medicine. Although I will not be reimbursed for the above medical services, I agree to said services and agree to pay for these services. I understand payment is due at the time of service unless specific arrangements were made in advance, that credit can be obtained by using Mastercard or Visa and that any outstanding balance owed will be subject to a 1.5% monthly interest charge.
FEDERAL HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) AND GENERAL AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION - ACKNOWLEDGMENT: David A. Edwards, MD, HMD, LTD does NOT transmit ANY health care claims information electronically. Therefore, we do NOT "qualify" as a "covered entity" under the provisions of the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA or PL104-191). However, we do agree with protecting the absolute privacy of ALL personal-private health information in our custody, and we do fulfill ALL mandated federal requirements of HIPAA in our handling and care of ALL personal-private health information. An outline of HIPAA mandates is provided on the reverse side of this form. I authorize the release of any and all medical information to my insurance/health plan administrator, any and all physician(s) I may be referred to and/or any person(s) legally designated by me.
I have read, understand and acknowledge ALL of the above:
Signature (Patient/Guardian if minor) Date:
|Intellectual Content: © International Bio Medical Research Institute, a 501(c)(3) tax exempt foundation. All Rights Reserved.|
Bio Health Center
"Quality Homeopathic Integrative Health Care on the cutting edge."
David A. Edwards, MD, HMD
McCarran Quail Park
615 Sierra Rose Drive, Suite 3; Reno NV 89511
Phone: 775.828.4055 Fax: 775.828.4255
*This Consumer Information is provided by the David A. Edwards, MD, HMD, Bio Health Center and the International BioMedical Research Institute, a
501 ( c ) (3) tax exempt research foundation and has not been evaluated for content by the U.S.F.D.A., U.S.F.T.C., the Nevada State Homeopathic
Medical Board or the Nevada State Medical Board, but is the professional opinion of Dr. Edwards and the certified staff of Bio Health Center under their
interpretation of the First Amendment to the U. S. Constitution. Dr. Edwards is a licensed MD and a licensed Homeopathic MD in the State of Nevada.
The practice of Homeopathic Integrative medicine is licensed in Nevada and approved by the Nevada State legislature.
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