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Click ‘Get Form’ to open it in the editor.
Begin by entering the patient's name and date of birth in the designated fields at the top of the form. Ensure accuracy as this information is crucial for identification.
Fill out the Guardian Information Section, providing details for both guardians, including names, relationships to the patient, and contact information. This section is vital for emergency contacts and communication.
Complete the Insurance Information Section by entering insurance type, social security number, member ID, and policy holder's details. This ensures that billing processes are streamlined.
In the Medical History section, check all applicable boxes regarding your child's health history. This helps clinicians understand any pre-existing conditions.
Continue through each section methodically, ensuring all fields are filled out completely. Use our platform’s features to save your progress as you go.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

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Can you get a DNA test with Medicaid?

No, paternity testing is not covered by health insurance, Medicare or Medicaid. This is because a paternity DNA test is not a medically necessary procedure. Medicare only helps pay for necessary treatments such as an injury, illness, or other medical condition.

How many locations does Elite DNA have?

We provide psychiatric evaluations, mental health therapy and case management in more than 30 locations across the state of Florida. We also provide specialized treatment for children with autism, including Applied Behavior Analysis and speech and occupational therapies.

What is the mission statement of elite DNA behavioral health?

Our mission is to provide comprehensive, quality behavioral and mental health services that are accessible and affordable for all who need them. Everything we do is in service to this mission and intend to grow our company to help as many people and families as possible.

Who is the CEO of Elite DNA?

Elizabeth Dosoretz is a licensed clinical social worker and mother of three, Founder CEO of Elite DNA Behavioral Health.

Does Elite DNA take Medicaid?

Elite DNA accepts most insurance plans in Florida, including Medicaid, Medicare, VA Benefits and commercial insurances like United Healthcare and Blue Cross Blue Shield.