DR. MANNY GARCIA
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Request forms by email Email:
mannyg911@outlook.com
Initial Evaluation (50 mins) - $ 440. (Forms - Init Eval, Policy & Charges, CC auth)
INIT EVAL
https://drive.google.com/file/d/1Kp3IXDfiFUyOm6Su0QKrHYzaQLWHPM_j/view?usp=sharing
POLICY & CHARGES
https://drive.google.com/file/d/1RJbxslyXcO5QkTlEn-YCk3kmf9iRUxmM/view?usp=sharing
CC AUTH/UPDATE
https://drive.google.com/file/d/13eNzJPdNsyabyQk1RTM6d07E01cKe44p/view?usp=sharing
Medication Management (20 mins) - $220. (Forms - Follow-up visit, CC updates)
MED UPDATE FORM
https://drive.google.com/file/d/16wiCXIKhqgRhjTSoU9VfJpfdqj77qTa3/view?usp=sharing
CC AUTH/UPDATE
https://drive.google.com/file/d/13eNzJPdNsyabyQk1RTM6d07E01cKe44p/view?usp=sharing
Written or E-RX Med Refill Requests - $ 20.
Additional Services and Fees available per request.
HSA, Credit /Debit Card, or Cash Payments Only! - due same day of service. Health Insurance Plans
NOT ACCEPTED
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