BERNARD GOLDSTEIN, D.P.M. PA

13615 Bruce B. Downs Blvd., Suite 112
Tampa, Florida   33613
(813) 972-3338 | Fax:  (813) 977-9070
 

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WAIVER OF CERTAIN NON-COVERED SERVICES
 

PLEASE BE AWARE THAT SOME INSURANCES DO NOT COVER CERTAIN PROCEDURES, DURABLE MEDICAL EQUIPMENT AND OVER THE COUNTER ITEMS THAT CAN BE DISPENSED IN THE OFFICE.

YOUR DOCTOR WILL ALWAYS MAKE YOU AWARE THAT A SERVICE OR DISPENSED ITEM IS NON-COVERED.

TRIMMING OF CORNS, CALLUSES, AND NAILS IN NON- DIABETICS MAY NOT BE COVERED BY SOME INSURANCE.

EXAMPLES OF DURABLE MEDICAL EQUIPMENT ARE:

CUSTOM MADE ORTHOTICS, ARCH SUPPORTS, SURGICAL SHOES AND HEEL CUPS.
 

EXAMPLES OF OVER THE COUNTER ITEMS ARE:
 

WART OR FUNGUS MEDICATIONS, TOE AND FOOT PADS, AND PERSONAL ITEMS SUCH AS CREAMS AND LOTION.
 

ALWAYS ASK YOUR DOCTOR IF YOU HAVE ANY QUESTIONS REGARDING YOUR TREATMENT OR PROCEDURES.
       

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