Consent for Treatment Not Covered

If you have a State Assisted patient that is getting treatment for anything that is not covered by their insurance, please fill out the Consent for Treatment form. It should spell it out very clearly for them, so there is no question as to what the cost is or if it will be covered.

https://docs.google.com/document/d/127T5RimcOEZ0r36KiNPwolAvERtfIcTVNGcOuNRRygY/edit?usp=sharing