Paperwork:

Insurance Forms

Paperwork for Sliding Scale:

Sliding Scale Forms

Paperwork for Self-Pay:

Self-Pay Forms

International Forms:

International Forms

Organizational Forms:

Organizational Forms

Paperwork for Medicaid:

Medicaid Forms

Paperwork for Medicare:

Medicare Forms

Paperwork for Supervision:

Supervision Forms

Release of Information Forms:

Release of Information Forms

Paperwork:

Insurance Forms

Paperwork for Medicaid:

Medicaid Forms

Paperwork for Medicare:

Medicare Forms

Paperwork for Sliding Scale:

Sliding Scale Forms

Paperwork for Self-Pay:

Self-Pay Forms

Paperwork for Supervision:

Supervision Forms

International Forms:

International Forms

Release of Information Forms:

Release of Information Forms

Organizational Forms:

Organizational Forms

Marcia Herrin is licensed or can practice as a registered dietitian in CA, CO, FL, MA, NH, NJ, NY, PA, TX, VA, VT and WY. Florida requires that the link to the Florida Department of Health is posted here: www.flhealthsource.gov/telehealth/