NOTICE TO PATIENTS OF FREEDOM OF CHOICE
(State Labor Code 139)
DIAGNOSTIC TESTING
To obtain additional necessary diagnostic information to guide your treatment, we are prescribing certain diagnostic tests, which may include neurodiagnostic testing and/or diagnostic ultrasound. Since we do not directly provide or schedule these procedures, you will need to schedule an appointment with an independent supplier of these tests. To assist you in this process, please note the following:
- Listed below are names of qualified suppliers of neurodiagnostic testing and diagnostic ultrasound in the area.
- Please contact one of these suppliers and schedule an appointment as soon as conveniently possible.
- Provide the supplier with a copy of the order given to you by your chiropractor or our staff.
- You will note that one of the suppliers, SKILL TECH DX, a d/b/a of SKILLS MANAGEMENT & LEASING (“SKILL TECH DX “), has the same address as our offices. The reason for this is that SKILL TECH DX has portable equipment and has arranged to use our offices on a scheduled basis. SKILL TECH DX pays us for the use of our offices and the related administrative services that we provide to them. SKILL TECH DX also has one of our employees act as a liaison in the scheduling process.
- The only purpose of our office arrangement with SKILL TECH DX is to expand our patients’ choices of qualified suppliers, NOT to direct you to any particular supplier. YOU ARE FREE TO OBTAIN THESE DIAGNOSTIC SERVICES FROM ANY SUPPLIER THAT YOU CHOOSE. YOUR CHOICE OF SUPPLIER WILL NEVER, UNDER ANY CIRCUMSTANCES, AFFECT HOW YOU ARE TREATED BY US.
If you have any questions regarding this Notice of Patient Freedom of Choice, please inquire further.
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Download this form detailing State Labor Code 139 here: Freedom of Choice