Alternative Treatment. In all cases in which there are optional treatments available which produce a professionally satisfactory result, only the least costly alternative will be considered eligible under this Plan. Eligible Dental Expenses The following is a complete list of dental procedures covered under this Dental Expense Benefit, any procedure not listed is excluded. Class “A” Expenses (Preventive Services):
Alternative Treatment. We will indemnify the Medical Expenses incurred on the Insured Person’s Alternative Treatment up to INR 50,000/- provided that:
Alternative Treatment. Alternative modes of treatment will be discussed during the assessment process, and/or during the course of treatment planning. RELEASE OF INFORMATION FOR BILLING PURPOSES: I agree that the organization may release to and receive from any insurers, other payers, or other persons, necessary for billing and related purposes. This information may include my identity, diagnosis and prognosis, treatment for mental health and/or alcohol or drug issues and all other information contained in my record to the extent that such records are needed for billing or collection of benefits. I am aware that I have the option to pay for services at the time of my sessions. TIME PERIOD OF INFORMED CONSENT/RIGHT TO WITHDRAW: Your consent for treatment will last until the goals of treatment have been satisfactorily reached, or you or your therapist elects to terminate treatment. This consent will be renewed every 12 months. You retain the right to withdraw informed consent and terminate treatment at any time. We do ask that you discuss this with your therapist. NO SHOW: Be aware that if you miss an appointment SCC has the right to charge a fee and all future appointments already scheduled will be cancelled to make time available for other client’s. If you no show or late cancel for more than two appointments Samaritan Counseling may terminate services. My signature below indicates that my therapist has explained this informed consent and I am satisfied with my understanding of the treatment process and have been offered a copy of this document. I hereby voluntarily consent to be actively involved in treatment. Client Signature Date Parent/Guardian Signature Date Therapist Signature SAMARITAN COUNSELING CENTER OF THE FOX VALLEY CLIENT INFORMATION FORM This information will be treated confidentially and used only your counselor. Please try to answer each question. Name Race/Ethnicity Sex (√) M F Age Birth Date / / Marriage/Partner (√) Single Partner Married Divorced Widowed If partner/married, please rate your relationship/marriage as . . . Very Happy Happy Unsure or Unhappy Date of partner/marriage Ages when partner/married: Client _ Partner/Spouse How long did you know your partner/spouse before relationship/marriage? Are you currently separated In the process of divorce ? Partner/Spouse name Address Phone (H) _ Phone (W) Birthdate / / Partner’s/Spouse’s occupation and employer Is partner/spouse willing to come for counseling? Yes No Uncertain If divorced, when? If widowed, wh...
Alternative Treatment. We will indemnify the Medical Expenses incurred on the Insured Person’s Alternative Treatment during the Policy Period following an Illness or Injury that occurs during the Policy Period up to the limits of the Base Sum Insured (subject to availability), provided that:
Alternative Treatment. We will indemnify the Medical Expenses incurred on the Insured Person's Alternative Treatment upto the limits of the Sum Insured (subject to availability of Basic Sum Insured), provided that:
Alternative Treatment. If the Issuer is not treated as an entity disregarded as separate from the Depositor for U.S. federal income tax purposes, the Administrator or the Owner Trustee will, based on information or instruction given by or on behalf of the Depositor, (i) maintain the books of the Issuer on the basis of a calendar year and the accrual method of accounting, (ii) deliver to each holder of the Residual Interest information required under the Code to enable the holder to prepare its U.S. federal and State income tax returns, (iii) file tax returns relating to the Issuer and make elections under any applicable U.S. federal or State statute and (iv) collect any withholding tax according to Section 4.1(d).
Alternative Treatment. The OVHA shall ensure that its subcontracted Departments do not prohibit, or otherwise restrict a health care professional acting within the lawful scope of practice, from the following actions: • Advising or advocating on behalf of an enrollee who is his or her patient for the enrollee’s health status, medical care, or treatment options, including any alternative treatment that may be self-administered; • Providing information to the enrollee as necessary for the enrollee to decide among all relevant treatment options; • Advising or advocating on behalf of a enrollee for the risks, benefits, and consequences of treatment or non-treatment; • Advising or advocating on behalf of the enrollee for the enrollee’s right to participate in decisions regarding his or her health care, including the right to refuse treatment, and to express preferences about future treatment decisions.
Alternative Treatment. In lieu of issuing substitute Performance Share Units as provided in Section 7(c), the Acquiring Entity may elect to settle in cash a proportionate number of Performance Share Units as of the effective date of the Change in Control, based on Company relative TSR performance as of that date, and to establish a cash incentive bonus program that provides the Award Recipient the opportunity to earn (upon terms and conditions acceptable to the Committee as constituted immediately prior to the Change in Control) up to the value of the remainder of the Award Recipient’s unsettled Performance Share Units, assuming achievement of a 50% percentile TSR ranking by the Company valued at the final closing Common Stock price immediately prior to the Change in Control. The proportionate number of Performance Share Units to be settled shall be based on the number of completed months during the Performance Period up to the effective date of the Change in Control.
Alternative Treatment. Including but not limited to: Reiki, Magnet therapy, Prolotherapy, Ozone, Hyberbaric Oxygen, electroacupuncture, Veterinary Orthopedic manipulation, Massage, Bicom, TENS and nutritional counseling.
Alternative Treatment. 2.30 Notwithstanding any provision herein to the contrary, (a) any Holder of an Allowed Claim or Interest against a Cubic Asset Debtor may receive, instead of the distribution or treatment to which it is entitled hereunder, any other lesser distribution or treatment to which it and, prior to the Effective Date, the Debtors and the Required Prepetition Noteholders may agree in writing and following the Effective Date, Reorganized Cubic Energy may agree in writing, and (b) any Holder of an Allowed Claim or Interest against Cubic Louisiana or Cubic Louisiana Holding may receive, instead of the distribution or treatment to which it is entitled hereunder, any other lesser distribution or treatment to which it and, prior to the Effective Date, the Debtors and WFEC may agree in writing, and following the Effective Date, Reorganized Cubic Louisiana may agree in writing.
