1. It will include use of
pharmaceutical-grade, high-quality Nutritional Supplements made by a Premier Vitamin
Company whose product line I use in my office.
2. The NSs will be provided
through my office.
3. The NSs will be charged
at Cost Plus 10% according to the W.C. Fee Schedule.
4. The Cost of the NSs
shall be no more than $125 per month(and usually less) for 3 months or less, but may be
longer. I shall call or write for further authorization with submission of an Explanation
For Additional Authorization Request.
5. The NSs will be designed
for the individual under Medically Necessary Specifications and not on a blanket basis.
6. The 5-Pronged Treatment
Protocol grew out of my 30 years of Neuropsychiatric Treatment experience with Injured
Workers with Chronic Pain and Serious Medical Conditions.
7. The Protocols
implementation is a singular, individualized approach that to be effective, requires all 5
Prongs to be emplaced.
8. The Protocol works in a
dramatic, compelling manner whose results are truly appreciated by all concerned
The Patient and Their Families; The Employer and Carrier; The Attorneys and All In The
Treatment Stream.
9. If after 3 months of the
Completed Treatment Time the Carrier or the Patient is not satisfied, I shall refund 50%
of the NSs Cost.
10. I provide a Weight Reduction
Program for Injured Workers who have gained weight following their injury. If Causally
Related to their injury, and Authorized, I can provide this at an additional cost of no
more than $85/month.