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Michelle L. Cantu, MD fax number

(210) 492-5233

Psychiatry - Child & Adolescent Psychiatry

Used for: Medical communications between patient and provider; appointment confirmations, treatment updates, and medical records or forms

Fax destination details

Department
Psychiatry - Child & Adolescent Psychiatry
Purpose
Medical communications between patient and provider; appointment confirmations, treatment updates, and medical records or forms
Form
Psychiatrist-Patient Services Agreement — Psychiatrist-Patient Services Agreement
Address
14603 Huebner Road Ste 3505, San Antonio, TX 78230-5469
Voice phone
210-615-5230

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HIPAA-compliant agreement outlining services, billing, privacy (PHI) and consent; describes how records are handled and how information may be released to insurance; requires signature.

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