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  • Intake, Acceptance and Request for Services

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  • Client Demographics

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  • Insurance Information

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  • Health and Mobility

  • Product Information

  • GNS Medical Supplies, Inc. – 14304 N. Fenton Rd, Fenton, MI 48430


  • Authorization/Consent for Services I have been informed of the care options available to me and of the selection of providers from which I may choose. I authorize GNS Medical Services under the direction of the prescribing physician, to provide medical equipment, supplies and services as prescribed by my physician. I hereby assign all benefits and payments to be made directly to GNS Medical Supplies for any medical equipment, supplies and services furnished to me. I hereby request and authorize GNS Medical Supplies, the prescribing physician, hospital, and any other holder of medical information relevant to services, to release information upon request, to GNS Medical, any payer source, physician, or any other medical personnel or agency involved with service.
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