info@dgtherapy.com

Terms Conditions

(562) 693-5449

12411 Slauson Ave, Unit H Whittier, CA 90606

(626) 671-6100

943 N Grand Ave, Covina, CA 91724

(310) 807-7545

3680 E. Imperial Hwy, STE 504, Lynwood CA 90262

Laurel Linton

Medical Billing and Collections

MESSAGE ME

FOLLOW ME

0

COURSES

0

FOLLOWERS

0

RATING

I am text block. Click edit button to change this text. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Ut elit tellus, luctus nec ullamcorper mattis, pulvinar dapibus leo.

My Courses 0
My Followers 0
My Reviews 0

Any followers founded

Any review founded

Any courses assigned

	Mail : test@test.com
	Phone : 00123456
	Skype : test
	Web : https://dgtherapy.com/teachers/latoya-shorty/
	Location : Whittier, CA

Contact Me

Web Master Software Solutions

Application Submission Form

Eligibility Verification Form

Client Info

Client Name
DOB

Name of Policy Holder
Relationship
DOB

Client Address
Client Phone Number

Plan Information

Insurance Carrier
Insurance Phone Number

Id Number
Group #

Insurance Plan or Program Name

Please Select All that Apply

Speech TherapySpeech Therapy EvaluationSpeech Therapy Re-Evaluation
Occupational TherapyOccupational Therapy EvaluationOccupational Therapy Re-Evaluation
Physical TherapyPhysical Therapy EvaluationPhysical Therapy Re-Evaluation

* Required

Medical Billing and Collections

0

0

0

My Courses 0

My Followers 0

My Reviews 0

Mail : test@test.com

Phone : 00123456

Skype : test

Web : https://dgtherapy.com/teachers/latoya-shorty/

Location : Whittier, CA

Contact Me

Whittier Facility

Covina Facility

Lynwood Facility