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  • Brochure
  • CMEP Consent Form (Spanish version here)
  • Medical Report FormYou have two options to submit your report for billing:
    1. Typed version – you may save a copy of the pdf template on your computer; type your responses; print the report; and mail the report to the CMEP office.
    2. Handwritten version – you may print a blank copy of the pdf template; hand write your responses; and mail the final report to the CMEP office.

    NOTE: We are not accepting electronic submissions of the CMEP report at this time.

  • Case Conference Report Form
  • Medical Provider Billing Instructions