List of participating Healthway Medical Group Specialist Clinics
|
|
- Myrtle Gallagher
- 7 years ago
- Views:
Transcription
1 List of participating Healthway Medical Group Specialist Clinics 1
2 Nobel Specialist Dr Soon Chao Yang Nobel Heart Centre Mt Alvernia Medical Centre A #01-03 Mt Alvernia Hospital 6 Napier Road #03-07 Mount Alvernia Tel: Fax: Tel: Fax: ECG, Exercise Treadmill, Transthoracic ECG, Exercise Stress ECG, Coronary Angiogram / Angioplasty, Permanent Pacemaker Implantation, Automated Implantable Cardioverter, Defibrillator Implantation. Dr Teo Yeow Kwan Jim Nobel Chest & Internal Medicine Centre Mt Alvernia Medical Centre A #05-02 Mt Alvernia Hospital 6 Napier Road #04-15 Tel: Fax: Tel: Fax: Lung Function Test, Bronchoscopy, Sleep Studies, Sleep Disorders, Home Ventilator Management, Asthma, Pulmonary Rehabilitation, Long Term Oxygen Therapy, management of all lung & ICU problems Dr Ranjit Gabriel Magherra Nobel ENT Head, Neck and Thyroid Surgery Centre Mt Alvernia Medical Centre A #02-28 Mt Alvernia Hospital #01-10A Mount Alvernia Tel: Fax: Tel: Fax: Nose / Sinus problem, Snoring & Obstructive Sleep Apnea, Ear Problem, Voice / Throat Problem, Thyroid Nodules & Neck Lumps, Head & Neck Cancer, Allergy Management 2
3 Nobel Specialist Dr Chen Chung Ming Nobel Surgery Centre Mt Alvernia Medical Centre #05-02 Mt Alvernia Hospital 6 Napier Road #04-15 #01-10A Mount Alvernia Tel: Fax: Tel: Fax: Tel: Fax: Gastroscopy & Colonoscopy (diagnostic theurapeutic), management of benign & malignant colorectal diseases, open & laparoscopic surgery for colorectal cancers, anorectal disease, stomach cancer, laparocopic surgery for gall bladder diseases, hernia repair Dr James Pan Nobel Eye and Vision Centre Mt Alvernia Medical Centre A #05-01 Mt Alvernia Hospital #01-10A Mount Alvernia Tel: Fax: Tel: Fax: Comprehensive Opthalmologist, - Cataract Surgery - Diabetes Related Eye Disease including laser treatment - Glaucoma - Pterygium - Corneal & Amniotic Membrane Transplantation - Dry Eye Management Dr Marcus Tan Dr Thong JiunnYew Healthway Psychological Wellness Clinic Ang Mo Kio 452 Ang Mo Kio Ave 10 # Singapore Novena #09-35 Novena Medical Center, Ang Mo Kio Tel: Fax: Novena Tel: Fax: Mon to Fri 9:30am 1:00pm 2:00pm - 5:30pm Tues & Thurs 6:30 pm 9:00pm (Evening Clinic at AMK) 9:00am 2:00pm Sun & Public - Mood Disorders (Depression & Bipolar disorder) - Anxiety Disorders (Panic disorder & Obsessive compulsive disorder) - Psychotic disorders (Schizophrenia) - Sleep problems (insomnia) - Addictions (Smoking, gambling, alcohol) 3
4 Orthopaedics & Sports Medicines Specialist Dr David Paul Bell Dr Ooi Lai Hock Dr Fong Shee Yan Dr Benedict Peng Chan Wearn Dr Chong Kian Chun Dr Derrick Oh Island Orthopaedics Consultants 6 Napier Road #02-16 Island Orthopaedic Consultants & Spine and Scoliosis Center Mt Elizabeth Medical Centre # Mount Elizabeth Singapore Island Orthopaedic Consultants Mt Alvernia Medical Centre A #01-04 Mt Alvernia Hospital Tel: Fax: Mount Elizabeth Tel: Fax: Mount Alvernia Tel: Fax: Trauma - Adult Reconstruction, Joint Replacement & Minimally Invasive Surgery - Hips, Knees & Lower limbs joint replacement - Pelvis Surgery & Multiple fractures - Foot & Ankle Surgery - Bunion Surgery (For Big Toe Deformities) - Diabetic Foot Diseases - Treatment & management of chronic sole pain (radiofrequency treatment) - Minimally Invasive Surgery - Spine & Scoliosis Surgery - Artificial disc replacement - Shoulders, Knees, Ankles, Wrists Injury, Hips & Upper Limbs Surgery - Rotator cuffs Surgery Dr Chiam Tut Fu Sports Medicine & Wellness Novena Medical Center #10-13 Tel: Fax: :00am 12:30pm - Musculosketel Injury Con & Treatment - Laser Treatment for Injuries & Wound Healing - Weight Management including Weight Loss & Weight Gain - Body Shaping including Ultrasonic Lipolysis - Botox Injection & Derma 4
5 NeuGlow Specialist Dr Gerard Tan Eng Choon Dr Joseph Soh Liang Dr Liew Kou Chuen Dr Chih Chien May Dr Angela Hwee Peik Hum Dr Celine Leong Su Ting Dr Tan Ming Ying Michelle Novena Medical Center #10-35 Novena Square 2 #04-44 OUB Centre 1 Raffles Place #05-09 Singapore Chinatown Point 133 New Bridge Rd #04-19 Singapore Novena Med Centre Tel: Fax: Novena Square 2 Tel: Fax: OUB Centre Tel: Fax: Chinatown Point Tel: Fax: Novena Med Centre 9:00am 6:00pm Novena Square 2 10:00am 8:00pm 10:00am 5:00pm OUB Centre 10:00am 8:00pm 10:00am 5:00pm SKIN : - Micro Botox - Blue Peel /Chemical Peel - Blue Laser - IPL (Intense pulsed Light) - Micro Dermabration FACE : - Ulthera - BOTOX - Smartlipo MPX - Facial Fillers - Dermal Fillers - Fractional Laser Resurfacing - Gold Threadlift - Radio Frequency BODY : - VASER Lipo Selection - VASER Hi Def - Breast Filler - Vela Shape - Radio Frequency Slimming Dr Andrew Khoo NeuGlow Plastic Surgery Centre #02-02 Tel: Fax: :00am 6:00pm - Double Eyelids - Eyebag Removal - Ear Corrections - Nose Corrections - Chin Corrections - Face & Neck Lift - Dimple Creation - Breast Reconstruction - Abdominoplasty - Liposuction - Scar Revision 5
6 NeuGlow Specialist Dr May Chin Dr Gerald Tan Dr Joseph Soh Neuglow Medical Hair Center Mandarin Gallery 333 Orchard Road #04-19 Singapore Tel: Fax: :00am 8:00p.m 10:00am 5:00pm - Omnigraft Hair Transplant - Eyebrow Hair Restoration - Moustache, Beard Restoration - Laser Hair Rejuvenation - Laser Hair Removal Dr Poon Kee Hwang NeuGlow Dental #02-02 Tel: Fax: :00am 6:00pm - Orthodontics (Braces) - Endodontics (Root Canal Treatment) - Periodontics (Gum treatment) - Oral Surgery Dr Leonard Tan Han Hsien NeuGlow Dental White Centre #10-04 Novena Medical Centre Tel: Fax: Mon to Fri 8.30am 12.30pm - Teeth Whitening - Cosmetic Dental Services - Smile makeover - Veneers - Crowns & bridges - Dental implants - Laser treatment - Root Canal Treatment - Scaling & Polishing 6
7 Health Screening & International Medical Clinic Dr Michelle Lee Loi Shee Healthway Screening & Wellness Centre 8:30am 1:00pm - Executive Health Screening Centre Dr Leong Shu Yee #05-02 Tel: Fax: Dr Adele Tan Xian Ling Healthway Medical Assessment Centre Mon to Fri 8:30am - 1:00pm - Executive Health Screening Centre, Square 2 #10-06/07 Novena Medical Centre Singapore Tel: Fax: :00pm - 5:30pm Dr Sabrina Yee Yen Ting Healthway International Medical Clinic #01-10A Tel: Fax: International Clinic - Travel Vaccinations (includes Yellow Fever) 7
8 Paediatrics Dr Ratna Sridjaja Dr Nancy Tan S'pore Baby & Child Clinic 6 Napier Rd #07-01/03 Tel: Fax: : - Paediatric Gastroenterology & Hepatology - Gastro related illnesses - Chronic liver disease - Liver failure - Liver transplant - Paediatric Dermatology Dr Chng Seo Yi Dr Jenny Tang Poh Lin Spore Baby & Child Clinic Asthma, Lung, Sleep & Allergy Centre 6 Napier Rd #07-05 Tel: Fax: am pm Mon, Tue, Thu, Fri 2pm - 5pm 1st and 3rd 8.30am pm - Childhood Asthma - Sleep Disorders - Respiratory & Allergy - Bronchial asthma & related allergies - Paediatric Respiratory Tract Infections - Pulmonary Disorders Dr Anita Menon SBCC Baby & Child Clinic 339 Thomson Road #05-06 Thomson Medical Centre Singapore Tel: Fax: Mon to Fri 8;30am 5:00pm Monday Only 6:30pm 9:30pm (Night clinic) - Special Interest in Respiratory & infectious Disease, Sun & Public Holiday Dr Vera Oh Boon Ngee Dr Liew Woei Kang Dr Phuah Huan Kee Spore Baby & Child Clinic Endocrinology & Growth Centre Mt Elizabeth Medical Centre 3 Mount Elizabeth #12-14 Singapore Tel: Fax: Mon - Endocrinology - Hormonal Growth Issues - Allergy and Immunology - Neurology Dr Chan Kit Yee Spore Baby & Child Clinic Mt Alvernia Medical Centre #01-01/02 Mt Alvernia Hospital 820 Thomson Rd Tel: Fax: Mon - Cardiology 8
9 Paediatrics Dr Tang Chien Her Dr Goh Han Meng Dr Goh Siok Ying SBCC Ang Mo Kio Blk 726 Ang Mo Kio Ave 6 # Singapore Tel: Fax: :30pm 9:30pm - Developmental behavioural paediatrics - Children with special needs like autism, learning and developmental difficulties - Special interest in paediatric sports medicine - Clinical paediatric endocrinology & diabetes Dr Ellen Tay Ms Frances Marie Yeo Ms Luah Chay Ling Ms Justina Soo Ms Lin Yan Xin Ms Tee Shan Shan Thomson Paediatric Centre #09-02/03 Novena Medical Centre Child Development Centre #09-02/03 Novena Medical Centre Tel: Fax: Tel: Fax: Mon to Mon to Fri - Paediatric Neurologist - Neuro-Rehabilitation (The ONLY trained paediatric neurorehabilitation physician in Singapore) - Interest in managing children with acquired brain injury and spasticity - Principal Psychologist - Interest in managing premature infants - Infants and children with developmental delay, syndromes, brain injury, cerebral palsy, muscular dystrophy & epilepsy - Children with developmental coordination disorder and post botox procedure - Speech & Language Therapist - Occupational Therapist 9
10 Paediatrics Dr Adeline Wong Paediatric Centre (Bishan) Blk 279 Bishan St 24 #01-50 Singapore Tel: Fax: Mon - Mon, Tue, Thu - General Paediatrics Tue & Thu 6:30pm 9:00pm Dr Zainal Muttakin Bin Abd Rahman Paediatric Centre (Rivervale) Blk 118 Rivervale Drive #02-20 Rivervale Plaza Singapore Tel: Fax: Mon Thu & 9:30am 1:30pm Fri 9:30am 12:30pm 6:30pm 9:00pm - Special Interest in Paediatric Infectious Diseases and Vaccinations Dr Wong Chin Khoon Paediatric Centre (Tiong Bahru) 298 Tiong Bahru Road #01-03/04 Central Plaza Singapore Tel: Fax: Mon Wed & Fri Mon, Tue & Thu 6:30pm 9:00pm - Special interest in Paediatric accident and emergencies 10
11 Dr Ben Choey SBCC Women s Clinic Clementi Blk 443 Clementi Ave 3 #01-53 Singapore Tel: Fax: General Obstetrics -General Gynaecology -Women Welness Screening Packages -Antenatal packages -Pre-Marital Screening - Medical Aesthetics -Termination of Pregnancy Dr Claudine Tan SBCC Women s Clinic Ang Mo Kio Blk 709 Ang Mo Kio Ave 8 # Singapore Tel: Fax: General Obstetrics -General Gynaecology -Women Welness Screening Packages -Antenatal packages -Pre-Marital Screening 11
Medical Specialties Guide
Medical Specialties Guide Allergy And Immunology Specialists in this field treat disorders related to how the body reacts to foreign substances. They treat such things as seasonal allergies, eczema, asthma,
More informationHealthcare services requiring prior authorisation
Annex 2 Healthcare requiring prior authorisation This list does not include organ transplants and does also not apply to long-term care and the primary purpose of which is to support people in need of
More informationNOTTINGHAM UNIVERSITY HOSPITAL NHS TRUST STATEMENT OF PURPOSE
NOTTINGHAM UNIVERSITY HOSPITAL NHS TRUST STATEMENT OF PURPOSE Legal status of the Trust University Hospitals NHS Trust (NUH) came into being on 1st April 2006 and assumed responsibility for the services
More informationRange of Injury Scale Values
Range of Injury Scale Values Civil Liability Regulations 2014 SCHEDULE 4 Range of Injury Scale Values (summary) Item Injury ISV Range Part 1-Central Nervous System and Head Injuries 1 Quadriplegia 75 100
More informationHow To Fill Out A Health Declaration
The English translation has no legal force and is provided to the customer for convenience only. The Dutch health declaration should be filled in. Health declaration for occupational disability insurance
More informationSCHEDULING GUIDE. April 15, 2016. FOR CHANGES TO THE SCHEDULING DIRECTORY, PLEASE EMAIL gainer@musc.edu.
SCHEDULING GUIDE April 15, 2016 FOR CHANGES TO THE SCHEDULING DIRECTORY, PLEASE EMAIL gainer@musc.edu. Service Telephone Fax Adolescent Medicine 876-0444 876-1493 Allergy & Immunology 876-8282 876-8181
More informationSpecialty Clinic Phone Listing
Adult Specialties Addiction Services (see Behavioral Health & Recovery/AODA) Allergy/Immunology 451 Junction Rd., Madison (West ) 263-6180 (local) 800-489-6008 (outreach clinics) 20 S. Park St., Madison
More informationKanCare Managed Care Organization Network Access as of July 31, 2015
Provider Type Amerigroup Kansas, Inc. Providers/ Locations % Covered (Urban & Semi-Urban) Average Distance to Provider (Urban/ Semiurban) % Covered (Rural/ Frontier) Average Distance to Provider (Rural/Frontier)
More informationDentistry. Dental Services
Dentistry Dental Services The Department of Dentistry s multi-disciplinary team cares for your oral health and wellness, and provides you with personalised service that is integrated, comprehensive, teambased
More informationPELED PLASTIC SURGERY HEADACHE HISTORY FORM
HEADACHE HISTORY FORM IF THIS IS YOUR FIRST VISIT, PLEASE TAKE THE TIME TO FILL THIS FORM OUT COMPLETELY. Patient Name: Age: Date of Birth: Weight: Height: Address: City: State: Zip: Home Phone: Cell Phone:
More informationElenco dei periodici elettronici in Ovid Full text
Academic Medicine Addictive Disorders & Their Treatment Advances in Anatomic Pathology Age & Ageing AIDS AIDS Patient Care & Stds AJN, American Journal of Nursing Alzheimer Disease & Associated Disorders
More information2ww Brain/CNS - Main Outpatients Department - Homerton - RQX. 2ww Haematology - Main Outpatients Department - Homerton - RQX
C&B Specialty C&B Clinic Types Service Name - 23rd April 2012 2WW Brain 2ww Brain/CNS - Main Outpatients Department - Homerton - RQX 2WW Breast 2ww Breast - Main Outpatients Department - Homerton - RQX
More informationREGISTRATION FORM PATIENT NAME: ADDRESS (STREET, CITY, STATE, ZIP): HOME PHONE: WORK PHONE: CELL PHONE: DATE OF BIRTH: / / AGE: SEX:
REGISTRATION FORM PATIENT NAME: ADDRESS (STREET, CITY, STATE, ZIP): HOME PHONE: WORK PHONE: CELL PHONE: E-MAIL ADDRESS: OCCUPATION: DATE OF BIRTH: / / AGE: SEX: SOCIAL SECURITY NUMBER: MARITAL STATUS:
More informationApplication for a Medical Impairment Rating (MIR)
STATE OF TENNESSEE DEPARTMENT OF LABOR AND WORKFORCE DEVELOPMENT Workers Compensation Division Medical Impairment Rating Program 220 French Landing Drive Nashville, TN 37243-1002 Phone (615) 253-1613 Fax
More informationNEURO-OPHTHALMIC QUESTIONNAIRE NAME: AGE: DATE OF EXAM: CHART #: (Office Use Only)
PAGE 1 NEURO-OPHTHALMIC QUESTIONNAIRE NAME: AGE: DATE OF EXAM: CHART #: (Office Use Only) 1. What is the main problem that you are having? (If additional space is required, please use the back of this
More informationMedical Recovery Insurance Company Guide. Let MyRecoveryCheque TM ease the financial pain of a hospital stay. www.myrecoverycheque.co.
Medical Recovery Insurance Company Guide Let MyRecoveryCheque TM ease the financial pain of a hospital stay www.myrecoverycheque.co.uk Introducing MyRecoveryCheque TM Many employees today are concerned
More informationColumbia St. Mary s Physician Directory Fall 2010
SM Columbia St. Mary s Physician Directory Fall 2010 SM Welcome Columbia St. Mary s Physicians consists of over 200 physicians and 65 community clinics located throughout Milwaukee, Ozaukee, Sheboygan
More informationPersonal Training Health Screening Questionnaire
Personal Training Health Screening Questionnaire Personal Information Today s date: Title: Dr. Mr. Mrs. Ms. Name: / Birth date: Last name First name Age: Address: Phone: (home) City: Phone: (work) Province:
More informationPatient Information. Patient s First and Last name: Preferred Name: Mailing Address: City: State: Zip Code: Date of Birth: Gender:
Patient Information: Patient Information Patient s First and Last name: Preferred Name: Mailing Address: Date of Birth: Gender: Best Number to Confirm Your Appointments: Alternate Phone Number: Social
More informationMedical Surgical Nursing (Elsevier)
1 of 6 I. The Musculoskeletal System Medical Surgical Nursing (Elsevier) 1. Med/Surg: Musculoskeletal System: The Comprehensive Health History 2. Med/Surg: Musculoskeletal System: A Nursing Approach to
More informationEnjoy a position of vantage, come what may.
Enjoy a position of vantage, come what may. prucrisis covervantage While you have achieved much in life and you and your family enjoy the benefits of success, there may be times when the unexpected happens.
More informationCarelink CaroMont Provider Directory
Carelink CaroMont Product Service Area: Cleveland, Lincoln, and Gaston Counties November 2013 Carelink from Coventry benefit plans are underwritten and administered by Coventry Health Care of the Carolinas,
More informationGROUP INSURANCE COVERAGE SUMMARY GARANTIES. Multi-employer Group Insurance Program FNQBN-RBA
GROUP INSURANCE COVERAGE SUMMARY GARANTIES Multi-employer Group Insurance Program FNQBN-RBA March 2014 Multi-employer Group Insurance Plan RAPNQ- RBA of Insurance Coverage Basic life insurance Member Option
More informationOUT-PATIENT DIRECT BILLING NETWORK FOR MHD POLICYHOLDERS - SINGAPORE
OUT-PATIENT DIRECT BILLING NETWORK FOR MHD POLICYHOLDERS - SINGAPORE Please note that treatment for Maternity, Wellness, Dental, Psychiatry, Traditional Chinese Medicine (TCM), and Plastic are not provided
More informationPatient & Medical Professional US Online Panel
Patient & Medical Professional US Online Panel Patient & Medical Professional US Online Panel Over 500K validated US online double opt-in panelists motivated to share their opinions in research! Since
More informationPlastic Surgery - Exceptional Referrals Patient Pathway April 2005
Patient Presentation Patient seeks exceptional procedure Clinical assessment: Psychology criteria (see Appendix 1) Exceptional physical criteria (see Appendix 2) Patient meets criteria Patient does not
More informationALLOPATHY MEDICAL DEGREES GRADUATE MBBS
ALLOPATHY MEDICAL DEGREES MBBS PG DIPLOMA (WITH BASIC DEGREE AS MBBS) IN SPECIALTY/SUPER SPECIALTY Diploma in Oto-Rhino-Laryngology Diploma in Radio-Diagnosis Diploma in Radio Therapy Diploma in Medical
More informationDental Admission Form
Dental Admission Form PERSONAL HISTORY All of the information which you provide on this form will be held in the strictest confidence. Although some questions may seem unimportant at the time, they may
More informationCOVER SUMMARY ULTRA HEALTH COVER
COVER SUMMARY ULTRA HEALTH COVER This provides an important summary of your cover and we recommend that you read and retain it. You can find out more about your membership by referring to the Member Guide,
More informationNHS outcomes framework and CCG outcomes indicators: Data availability table
NHS outcomes framework and CCG outcomes indicators: Data availability table December 2012 NHS OF objectives Preventing people from dying prematurely DOMAIN 1: preventing people from dying prematurely Potential
More informationHow To Improve Your Looks with Plastic Surgery
How To Improve Your Looks with Plastic Surgery By Daniel Becker Plastic surgery is a special type of surgery that involves both a person's appearance and his or her ability to function. Plastic surgeons
More informationPOSTGRADUATE INSTITUTE OF MEDICINE - COLOMBO
POSTGRADUATE INSTITUTE OF MEDICINE - COLOMBO POSTGRADUATE DIPLOMA IN SPORTS MEDICINE PROSPECTUS Revised Edition October 2011 1 (Revised Edition October 2011) POST GRADUATE INSTITUTE OF MEDICINE POSTGRADUATE
More informationNORCOM COMMISSIONING POLICY. Specialist Plastic Surgery Procedures
NORCOM North Derbyshire, South Yorkshire and Bassetlaw Commissioning Consortium NORCOM COMMISSIONING POLICY Specialist Plastic Surgery Procedures January 2007 Review Date: January 2009 Prepared by Rotherham
More informationLaser and Cosmetic Center
Laser and Cosmetic Center A Patient s Guide to Cosmetic Dermatology WELCOME Experts You Can Trust The Massachusetts General Hospital Dermatology Laser and Cosmetic Center s depth of experience is unmatched.
More informationWe understand you want support right from the beginning
PROTECT We understand you want support right from the beginning PRUearly stage crisis cover Should an illness strike, the earlier it is diagnosed, the easier it is to manage and the higher the chances
More informationPulmonary Associates of Richmond
Pulmonary Associates of Richmond Name: Address One: City: Home Phone#: Work Phone#: Cell Phone#: State: Zip: Sex: Social Security Number: Referring Doctor: of Birth: Employer: Primary Care Doctor: Employment
More informationAON Physical Therapy & Wellness
AON Physical Therapy & Wellness PATIENT REGISTRATION Patients First and Last Name Intake Taken By- Appointment Date / Therapist Date- Date of Birth: Is the patient Under 18? If so, who is the guarantor?
More informationAccident Coverage Details
Accident Coverage Details Choose Level 1 or Level 2 Benefits Accident Coverage provides 24-hour coverage or off-the-job coverage. Select the level of coverage that best meets your needs and budget. BENEFITS
More informationWorkman s Compensation
Workman s Compensation Name: Sex: Phone Number: Age: Address (Street/City/State/Zip) Name of Employer: Phone: Address of Employer (Street/City/State/Zip) Date and time of accident?: Where were you taken
More information1 Central 601 West Second Street, Bloomington, IN 47402 t 812.353.9484 800.934.6074
Locations 1 Central 601 West Second Street, Bloomington, IN 47402 t 812.353.9484 800.934.6074 2 East 328 S. Woodcrest Drive, Bloomington, IN 47401 t 812.353.3278 866.353.3278 3 West 2499 W. Cota Drive,
More informationSchool of Nursing and Midwifery. School of Nutritional Sciences and Dietetics
ABOUTTUMS Tehran University of Medical Sciences is the oldest and most well-known medical center in Iran. It is one of the country s top research universities which accepts applications from the most qualified
More informationTHE CLINIC MR JAMES KITCHEN DR HUGO KITCHEN 25 YEARS AESTHETIC EXPERIENCE AT THE FOREFRONT OF COSMETIC MEDICINE.
TREATMENT BROCHURE THE CLINIC Dr. Hugo J. Kitchen studied Medicine at Birmingham University Medical School and qualified as a fully registered medical practitioner in 1982. DR HUGO KITCHEN In 1988 Dr.
More informationGUIDELINES ON AESTHETIC FACIAL PROCEDURES FOR DENTAL PRACTITIONERS
GUIDELINES ON AESTHETIC FACIAL PROCEDURES FOR DENTAL PRACTITIONERS INTRODUCTION 1. This document serves as a guideline on aesthetic facial procedures for dental practitioners. It does not include aesthetic
More informationORTHOPAEDIC SPINE PAIN QUESTIONNAIRE
ORTHOPAEDIC SPINE PAIN QUESTIONNAIRE NAME: DATE: ADDRESS: AGE: TELEPHONE#: RELIGION: OCCUPATION: REFERRED BY WHOM: NEAREST FRIEND/RELATIVE: TELEPHONE#: ADDRESS: PLEASE EXPLAIN WHY YOU HAVE COME TO SEE
More informationOUR NEW INPATIENT ORTHOPEDIC AND SPINE UNIT BRINGS THE BEST OF BOSTON TO YOU.
www.brighamandwomensfaulkner.org OUR NEW INPATIENT ORTHOPEDIC AND SPINE UNIT BRINGS THE BEST OF BOSTON TO YOU. Following orthopedic or spine surgery, your inpatient therapy is a vital first step to your
More informationABDOMINOPLASTY - FREQUENTLY ASKED QUESTIONS (FAQs)
Executive Level E1, Excen Centre, 119 Willoughby Road, Crows Nest 2065 Tel: 02 9817 7585 www.mycosmeticclinic.net AFFORDABILITY WITH EXCELLENCE Liposuction Breast Augmentation Abdominoplasty Eyelids Surgery
More informationDo you have private medical insurance (i.e. Blue Cross, Sun Life, Great West Life)? Yes
PERSONAL INFORMATION: The information in this section has remained unchanged from my last visit with CORE Physiotherapy & Rehabilitation Centre Inc. Last Name: DOB: First Name: Health Card Number: Address:
More informationEvidence-Based Practice for Public Health Identified Knowledge Domains of Public Health
1 Biostatistics Statistical Methods & Theory Evidence-Based Practice for Public Health Identified Knowledge Domains of Public Health General Public Health Epidemiology Risk Assessment Population-Based
More informationWomen s. Sports Medicine Program
Women s Sports Medicine Program The Froedtert & The Medical College of Wisconsin Sports Medicine Center The Sports Medicine Center is a leading provider of comprehensive sports-based programs to treat
More informationSchedule of Benefits International Select Gold
Schedule of Benefits International The following benefits for International are subject to the Policyholder s Calendar Year Deductible and Coinsurance. For Contracts with a $10,000 or $25,000 Deductible,
More informationPOINCIANA INTERNAL MEDICINE PA. Patient Name: Social Security Number: Date of Birth: / / Sex: M/F (Circle One) Married/Single/Divorced/Widow Address:
Patient Name: Social Security Number: Date of Birth: / / Sex: M/F (Circle One) Married/Single/Divorced/Widow Address: (Street) (City/State/Zip) Home Phone: ( ) E Mail Address: Would you be interested in
More informationIntegrated Medical Services (IMS) New Patient Registration Sheet
Personal Information Today s Date: Patient First Name: Initial: Last Name: DOB: Age: Social Security #: Email: Address: Street Apt # City/State/Zip Home Phone: Work Phone: Cell phone: Gender : M F Language:
More informationMEDICAL HISTORY AND SCREENING FORM
MEDICAL HISTORY AND SCREENING FORM The purpose of preventive exams is to screen for potential health problems and provide education to promote optimal health. It is best practice for chronic health problems
More informationCRISIS COVER CLAIM FORM (DEAFNESS/ PARTIAL LOSS OF HEARING OR CAVERNOUS SINUS THROMBOSIS SURGERY/ COCHLEAR IMPLANT SURGERY) SECTION
Reg. No 199002477Z CRISIS COVER CLAIM FORM (DEAFNESS/ PARTIAL LOSS OF HEARING OR CAVERNOUS SINUS THROMBOSIS SURGERY/ COCHLEAR IMPLANT SURGERY) SECTION 1 This section is to be completed by the Life Assured
More informationFamily Extras. What s covered, how much and when. Item No. Waiting Period. Service
Family Extras This Quick Guide shows you what you can claim, how much you ll get back, your annual limits and when you can start claiming. This information will help you make the most of your cover. After
More informationLimited Pay Policy (L-222B) - Underwriting Guidelines
Limited Pay Policy (L-222B) - Underwriting Guidelines 1 Addiction/Abuser Drug - Past or Present Presently Recovered - AA for last 2 years 2 Aids 3 Alcoholic Presently Recovered - AA for last 2 years 4
More informationWhat s covered, how much and when. Item No. Waiting Period. Service. Per person combined. Routine Dental (most common shown) Diagnostic
Family Extras This Quick Guide shows you what you can claim, how much you ll get back, your annual limits and when you can start claiming. This information will help you make the most of your cover. After
More informationHeight FT IN Weight Married? Y / N Employed? Y / N
Name Patient # (PLEASE PRINT) Signature Date Height FT IN Weight Married? Y / N Employed? Y / N Previous Illnesses: Check all that apply AIDS, HIV, STD Epilepsy Pacemaker Alcoholism Eye/vision problems
More informationNEW PATIENT HISTORY QUESTIONNAIRE. Physician Initials Date PATIENT INFORMATION
NEW PATIENT HISTORY QUESTIONNAIRE Physician Initials Date PATIENT INFORMATION JHH# DOB# AGE HOME PH CELL PH DAY PH EMAIL Who is your REFERRING PHYSICIAN? (The doctor who referred you to Johns Hopkins Neurology.)
More informationALBANY PLASTIC SURGEONS, PLLC 4 Executive Park Drive Albany NY 12203 (518) 438-1434 PATIENT INFORMATION FORM
ALBANY PLASTIC SURGEONS, PLLC 4 Executive Park Drive Albany NY 12203 (518) 438-1434 PATIENT INFORMATION FORM Today s Date: PERSONAL INFORMATION First Name: Last Name: MI: Address: City: State/Province:
More informationPatient Registration
Patient Registration please print all information clearly PATIENT'S NAME Last First Middle DATE OF BIRTH Gender Preferred name Month Day Year HOME ADDRESS (Number, Street, Route, Etc.) CITY STATE ZIP HOME
More informationLife Insurance Application Form
Life Insurance Application Form INSTRUCTION To be completed by all applicants PERSONAL DETAILS Surname First name Middle name Sex Female Male Marital status (please tick) Single Married Other Current residential
More informationMCGHealth Orthopaedic Center
MCGHealth Orthopaedic Center Why refer your patients to MCGHealth Orthopaedic Center? Full range of care from general orthopaedic diagnosis and triage to the most complex spinal surgeries Team of board-certified
More informationGenerali Worldwide Group Health Insurance Enrolment and Health Insurance Applicant Form
Generali Worldwide Group Health Insurance Enrolment and Health Insurance Applicant Form Please complete all sections in BLOCK CAPITALS or tick the boxes, where appropriate. A completed Health Insurance
More informationCompare your plan options
SMALL BUSINESS GROUP Compare your plan options 2014 plans for businesses with 1 50 employees I SMALL BUSINESS GROUP Group Health plans offer value, choice, and more A well-run business takes a lot of time,
More informationPatient Case Information (Please Fill Out Forms Completely) (IF PATIENT IS UNDER 18 YEARS OF AGE LEGAL GUARDIAN MUST SIGN ALL PAPERWORK)
Patient Name: Patient Case Information (Please Fill Out Forms Completely) (IF PATIENT IS UNDER 18 YEARS OF AGE LEGAL GUARDIAN MUST SIGN ALL PAPERWORK) (Last), (First) (Middle Initial) Address: City: State:
More informationCerebral Palsy. 1995-2014, The Patient Education Institute, Inc. www.x-plain.com nr200105 Last reviewed: 06/17/2014 1
Cerebral Palsy Introduction Cerebral palsy, or CP, can cause serious neurological symptoms in children. Thousands of children are diagnosed with cerebral palsy every year. This reference summary explains
More informationDental Services. Dental Centre. HKSH Healthcare Medical Centre Dental Centre. For enquiries and appointments, please contact us
Dental Services For enquiries and appointments, please contact us HKSH Healthcare Medical Centre Dental Centre Level 22, One Pacific Place 88 Queensway, Hong Kong (852) 2855 6666 (852) 2892 7589 dentalcentre@hksh.com
More informationWe have made the following changes to the Critical Illness events covered under our group critical illness policy.
We have made the following changes to the Critical Illness events covered under our group critical illness policy. March 2015 Because everyone needs a back-up plan 7 New critical illness events added to
More informationPatient Information. Name: Social Security Number: Birth date: Email: Address: Phone #: House: Cell: Work: Primary Care Physician: Address:
Patient Information Name: Social Security Number: Birth date: Age: Email: Address: Phone #: House: Cell: Work: Primary Care Physician: Phone #: Date Last Visit: Address: Emergency Contact: Emergency Phone
More informationHealth History Form: Beverly Hosford, Muscle Activation Techniques Specialist
Health History Form: Beverly Hosford, Muscle Activation Techniques Specialist Name: Phone: Address: E-mail: Birthdate: Age: EMERGENCY CONTACT Name: Phone: Are you seeing any medical practitioners such
More informationTreatment Category Inpatient Treatment Categories DRG (MS DRG) ICD9 [Hip & Knee Only]
NCCT List of Procedures Treatment Category Inpatient Treatment Categories DRG (MS DRG) ICD9 [Hip & Knee Only] Bariatric Surgery - Laparoscopic Gastric Bypass DRG - 288 MS DRG - 621 Cardiac Angioplasty
More informationZurich Life Risk Trauma cover
Product Summary Issued 21 December 2015 Zurich Life Risk Trauma cover Adviser use only Trauma insurance provides a lump sum payment on diagnosis or occurrence of a covered trauma. This is a summary only
More informationDocumentation Requirements ADHD
Documentation Requirements ADHD Attention Deficit Hyperactivity Disorder (ADHD) is considered a neurobiological disability that interferes with a person s ability to sustain attention, focus on a task
More informationPraxis Physical Therapy and Human Performance 935 Lakeview Parkway Suite #195 Vernon Hills, IL 60030 Phone: 847-247-7200 Fax: 847-247-4340
Medicare Insurance Registration Form (Page 1) Welcome to our Office: By completing this patient information form, you will help us to serve you more efficiently. Should you have any questions concerning
More informationNURSING STUDENT HEALTH & IMMUNIZATION RECORDS
NURSING STUDENT HEALTH & IMMUNIZATION RECORDS *********************************** COMPLETE THE ATTACHED HEALTH PACKET AND SUBMIT TO THE NURSING DEPARTMENT NO LATER THAN THE ASN ORIENTATION. **************************************
More informationWaiting Period. Item No. Service. Per person combined. Routine Dental (most common shown) Diagnostic
Super Extras This Quick Guide shows you what you can claim, how much you ll get back, your annual limits and when you can start claiming. This information will help you make the most of your cover. After
More informationBourassa and Associates Rehabilitation Centre Multidisciplinary Musculoskeletal Functional Rehabilitative Services
Slide 1 Bourassa and Associates Rehabilitation Centre Multidisciplinary Musculoskeletal Functional Rehabilitative Services Slide 2 Introduction To Rehabilitation Professionals Physical Therapy Occupational
More informationIf you have an accident, will it hurt your bank account too?
Group accident insurance With wellness benefit If you have an accident, will it hurt your bank account too? Unum s accident insurance gives you something to fall back on. Life can take a tumble. With a
More informationCerebral Palsy. In order to function, the brain needs a continuous supply of oxygen.
Cerebral Palsy Introduction Cerebral palsy, or CP, can cause serious neurological symptoms in children. Up to 5000 children in the United States are diagnosed with cerebral palsy every year. This reference
More informationSOUTH TAMPA MULTIPLE SCLEROSIS CENTER
SOUTH TAMPA MULTIPLE SCLEROSIS CENTER PATIENT/CARE GIVER QUESTIONNAIRE DEMOGRAPHIC INFORMATION Patient's Name: City: State: Zip Code: Phone: Marital Status: Spouse/Care Giver Name: Phone (H) (W) Occupation:
More informationC CS. California Children Services Alameda County
C CS California Children Services Alameda County The California Children Services (CCS) Program strives to assure access to medical services essential to the health and well-being of children with catastrophic
More informationAdult Information Form Page 1
Adult Information Form Page 1 Client Name: Age: DOB: Date: Address: City: State: Zip: Home Phone: ( ) OK to leave message? Yes No Work Phone: ( ) OK to leave message? Yes No Current Employer (or school
More informationClosed Automobile Insurance Third Party Liability Bodily Injury Claim Study in Ontario
Page 1 Closed Automobile Insurance Third Party Liability Bodily Injury Claim Study in Ontario Injury Descriptions Developed from Newfoundland claim study injury definitions No injury Death Psychological
More informationP.O. Box 31001 Abu Dhabi, Tel: +971 2 22 22 616 Fax: +971 2 22 22 717 E-mail: info@davincidental.ae. www.davincidental.ae.
P.O. Box 31001 Abu Dhabi, Tel: +971 2 22 22 616 Fax: +971 2 22 22 717 E-mail: info@davincidental.ae www.davincidental.ae /DavinciDental1 ADental care you deserve! We give you more of what you want the
More informationMGMA PROVIDER COMPENSATION 2015
Physicians Allergy/Immunology 203 86 Anesthesiology 2,146 120 Anesthesiology: Pain Management 127 59 Cardiology: Electrophysiology 327 126 Cardiology: Invasive 424 148 Cardiology: Invasive-Interventional
More informationSun Life Financial Accident Insurance Plan. Frequently Asked Questions
Accident Insurance Plan FAQ Sun Life Financial Accident Insurance Plan Frequently Asked Questions 1. Can I make more than one claim per accident? A: Yes. For example, an individual who has torn knee cartilage
More informationDallas Neurosurgical and Spine Associates, P.A Patient Health History
Dallas Neurosurgical and Spine Associates, P.A Patient Health History DOB: Date: Reason for your visit (Chief complaint): Past Medical History Please check corresponding box if you have ever had any of
More informationAlternative Benefit Plan (ABP) ABP Cost-Sharing & Comparison to Standard Medicaid Services
Alternative Benefit Plan (ABP) ABP Cost-Sharing & Comparison to Standard Medicaid Services Most adults who qualify for the Medicaid category known as the Other Adult Group receive services under the New
More informationHealth questionnaire for the insured TAF life insurances
You are applying for life insurance. With your application goes a declaration of your health. You can fill out your declaration in this health questionnaire. When your application comprises of two insured
More informationExtended Disability Income. Fixed cease age. Extended Disability Income. Whole Life UP TO 24 MONTHS. Pre-retirement.
For intermediaries Sanlam Risk Cover January 2015 Temporary Disability Income benefit (OIT3) Primary Income Protector benefits Waiting period Sickness Temporary Disability Income Including fixed payment
More informationVisiting Students Elective Programme Handbook
Visiting Students Elective Programme Handbook CONTENTS PAGE Introduction page 3 Criteria for applying for a medical elective at Barts and The London page 6 General Administrative information page 7 Application
More informationNon-covered ICD-10-CM Codes for All Lab NCDs
Non-covered ICD-10-CM s for All Lab NCDs This section lists codes that are never covered by Medicare for a diagnostic lab testing service. If a code from this section is given as the reason for the test,
More informationApplication For Admission To The Non-Surgical Spinal Decompression Program At The Spinal Decompression Center of Long Beach
Application For Admission To The Non-Surgical Spinal Decompression Program At The Spinal Decompression Center of Long Beach If you are reading this form, you have qualified for a consultation with Dr.
More informationHEALTHCARE AND TREATMENT SERVICES IN LATVIA November 7 8, 2012, London, Dublin
HEALTHCARE AND TREATMENT SERVICES IN LATVIA November 7 8, 2012, London, Dublin HEALTHCARE AND TREATMENT SERVICES IN LATVIA PRIVATE CLINICS ALIANCE BALTIC CARE balticcare.eu Alliance of 8 leading private
More information1MFBTF GJMM PVU GPSNT BOE GBY 'PSNT XJMM CF TJHOFE BU ZPVS BQQPJOUNFOU
CELL PHONE: PATIENT HISTORY FORM - CONFIDENTIAL DATE: PATIENT: (LAST NAME) (FIRST NAME) (Ml) (NICKNAME) DOB: Primary Physician/ Family Doctor: Phone: Past Medical History (Click all that apply) High blood
More informationThe Global Aesthetic Dermatology Market Outlook
Brochure More information from http://www.researchandmarkets.com/reports/1575415/ The Global Aesthetic Dermatology Market Outlook Description: This report analyzes the global aesthetic dermatology market
More informationInfant / Child New Patient Information Package Dr. Anne M. Desneiges - Chiropractor
Dr. Anne Desneiges Inner Waves Centre for Well~Being Infant / Child New Patient Information Package Dr. Anne M. Desneiges - Chiropractor Name: Address: Postal code: street city Telephone: home: ( ) work:
More information30 DAY. How to choose. Contents GUARANTEE. Get your personalised quote today. It s worth it. Start with hospital cover. Tailor your Extras
Product information How to choose Contents How to choose 1 Start with hospital cover 2 Tailor your Extras 6 Top Extras 8 01 02 Start with hospital cover We recommend our top hospital cover for peace of
More informationList of Australian Recognised Medical Specialties
List of Australian Recognised Medical Specialties The List of Australian Recognised Medical Specialties includes those organisations, specialties and qualifications that are recognised as medical specialties
More information