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4 Apr 2013 - I declare that the information I have given on this form is correct and complete. ... with the NHS (General Dental Services) (Scotland) Regulations. .... data will be shared with the Common
Home Address City State Zip Telephone# ( ) Work Location Work Telephone ...
"the CSA" means the Common Services Agency for the Scottish Health ... where the dentist has any form of financial or legal relationship or arrangement with a.
in order to process your Medical/Dental claim in the most efficient and ... San Diego, CA 92193-9057 | (800) 541-3522 | claims@CSATravelProtection.com.
registered architect;. 2. a physician, dentist, pharmacist, or other medical, dental, or health care ... The Contracted Services Agreement (CSA), form # PD-49, and.
but delegated the actual paying to the Common Service Agency (CSA) as of April 1999. ... PSD receives all forms completed by dentists for claims in terms of the.
16 May 2017 - An initial check is made to ensure that the form has been completed ... Practitioners on Clinical Prior Approval Treatment on Dental Adviser ...
17 Mar 2015 - where the dentist has any form of financial or legal relationship or ..... specialised practice will be required to submit to the CSA, on a form ...
GP Section, School of Postgraduate Medical and Dental education ... for the CSA course please download the CSA application form from the. Deanery Website. This form should be used by GP ST registrars during