{"product_id":"cranial-prosthesis-packet","title":"Cranial Prosthesis Packet","description":"\u003cp class=\"font-claude-response-body break-words whitespace-normal\" dir=\"ltr\"\u003e\u003cstrong\u003eHere's what you're getting:\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul dir=\"ltr\" class=\"[li_\u0026amp;]:mb-0 [li_\u0026amp;]:mt-1 [li_\u0026amp;]:gap-1 [\u0026amp;:not(:last-child)_ul]:pb-1 [\u0026amp;:not(:last-child)_ol]:pb-1 list-disc flex flex-col gap-1 pl-8 mb-3 print:block print:space-y-1\"\u003e\n\u003cli class=\"font-claude-response-body whitespace-normal break-words pl-2\"\u003eClient Intake Form\u003c\/li\u003e\n\u003cli class=\"font-claude-response-body whitespace-normal break-words pl-2\"\u003eHealth \u0026amp; Medical History Form\u003c\/li\u003e\n\u003cli class=\"font-claude-response-body whitespace-normal break-words pl-2\"\u003eCranial Prosthesis Consultation Form (with HCPCS code fields)\u003c\/li\u003e\n\u003cli class=\"font-claude-response-body whitespace-normal break-words pl-2\"\u003eInsurance \u0026amp; Billing Authorization Form\u003c\/li\u003e\n\u003cli class=\"font-claude-response-body whitespace-normal break-words pl-2\"\u003eInformed Consent Form\u003c\/li\u003e\n\u003cli class=\"font-claude-response-body whitespace-normal break-words pl-2\"\u003eCancellation, Rescheduling \u0026amp; Deposit Policy\u003c\/li\u003e\n\u003cli class=\"font-claude-response-body whitespace-normal break-words pl-2\"\u003eClient Fact Sheet\u003c\/li\u003e\n\u003cli class=\"font-claude-response-body whitespace-normal break-words pl-2\"\u003ePhoto \u0026amp; Video Release Waiver\u003c\/li\u003e\n\u003cli class=\"font-claude-response-body whitespace-normal break-words pl-2\"\u003ePersonal Impact Statement\u003c\/li\u003e\n\u003cli class=\"font-claude-response-body whitespace-normal break-words pl-2\"\u003eAftercare \u0026amp; Maintenance Guide\u003cbr\u003e\n\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp class=\"font-claude-response-body break-words whitespace-normal\" dir=\"ltr\"\u003eYou'll receive both a print-ready PDF and a fully editable Word document. Please complete the packet in it's entirety and return in person at your consultation or prior to via email to: \u003cstrong\u003einfo@theconcreterosecollection.com\u003c\/strong\u003e\u003c\/p\u003e","brand":"The Concrete Rose Collection","offers":[{"title":"Default Title","offer_id":52786627444876,"sku":null,"price":0.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0553\/5842\/3180\/files\/Flyers25.jpg?v=1787016456","url":"https:\/\/www.theconcreterosecollection.com\/products\/cranial-prosthesis-packet","provider":"The Concrete Rose Collection","version":"1.0","type":"link"}