[12] Amen Clinics has scanned 50,000 people at an estimated cost of $170 million according to Daniel Amen. The chain of Amen Clinics primarily uses SPECT imaging, which is a nuclear medicine procedure designed to help study parts of the body such as the brain, bones, liver, heart and thyroid. Why not write one? Amen Clinic is a medical group practice located in New York, NY that specializes in Child & Adolescent Psychiatry and Psychiatry. E-mail may be used to communicate routine information and questions to your doctor, but this doesnt replace a session, nor will any medical decision be made via e-mail correspondence. Building all the time by adding some new ideas and tw. They have rewarded him with a chain of Amen Clinics, a presence on PBS, lucrative speaking engagements, a $4.8 million mansion overlooking the Pacific Ocean, and a line of products including books, videos and diet supplements ("nutraceuticals"). Maxim Healthcare Staffing is seeking a Certified Occupational Therapist (OT) to work in a school setting who, in collaboration with the multi-disciplinary team, develops a plan of care for each occupational therapy patient and provides skilled occupational therapy services in accordance with physician orders. The FDA would never have approved a new medication on the basis of the kind of evidence Amen is going by. Doctor visits vary in frequency depending upon your needs. Each scan takes approximately 20 minutes, and you will have two scans on separate days: one while your brain is at rest, and one while focused on a concentration task. Sat Closed. 9. However, if you have a life-threatening emergency, please call 911 or go to your local emergency room immediately. He may be right, or he may be wrong. The IV is only inserted for about 10 minutes, and numbing cream is available. A full initial session, including two scans, costs about $3,500. Fri 8:00 am - 5:00 pm. Evaluating atypical, unresponsive or mixed psychiatric conditions. Our specialists provide a broad range of primary and specialty care, plus urgent care, lab, imaging, behavioral health and pharmacy services. She received her BA and MD from the University of Washington, did her internship in the Air Force (the second female ever to do so), and was the first female graduate of the Air Force family practice residency at Eglin Air Force Base. Amen Clinics Orange County serves the greater Southern California area, including the communities of Newport Beach, Costa Mesa, Huntington Beach, Long Beach, Laguna, Irvine, San Clemente, Anaheim, Tustin, and many more. We know people worry they may not get accurate scans while on medication, but many of our patients are scanned on their medications and the scans are still very valuable. Amen Clinics Inc. 3150 Bristol St Ste 400 Costa Mesa, CA 92626. Two scans will allow us to evaluate the changes in brain blood flow patterns from a resting state to a concentration state. If you have a negative reaction to medication or other serious symptoms, please call us. This is measured in rem (Roentgen equivalents to man) or Sieverts (one Sievert = 100 rem). Biography: In my opinion, Amen has jumped the gun by using SPECT scanning clinically before research has validated his methods. Brain SPECT imaging gives you and your doctor information on the blood flow and activity patterns of your brain. During this period of time (whether you are taking the computer test or relaxing), the imaging solution will be injected through the IV. No. SPECT imaging effectively shows us the patterns of activity in your brain. At the end of an evaluation, patients are given a walk-out statement containing applicable more, Hello Samantha, thank you for reaching out. On the official website, a large variety of peer-reviewed studies referring to SPECT scans are presented. Only reduce or stop medication under your doctors supervision. We dont have to travel overseas to find a need when theres a mission field in our own backyard. The Fleetinsel Clinic Hamburg is one of the leading German clinics specializing in orthopedics and orthopedic surgery. Answered February 10, 2021 Answer See 1 answer Do call center staff receive health benefits? Evaluating the effects of mild, moderate and severe head trauma. Daniel Amen loves SPECT scans (Single Photon Emission Computed Tomography). Amen says this method has helped him identify new subtypes of anxiety, depression and attention deficit disorder, categories far more specific than even the forthcoming fifth edition of the Diagnostic and Statistical Manual of Mental Disorders, the benchmark of the field. Amen Clinics provides comprehensive answers to the most frequently asked questions about our mental health services. You can only buy a mild chamber (lower pressure), but the Amen clinic only uses mild chambers anyway. Job. You order scans when you are confused, the patient hasnt responded to your best treatment or the patients situation is complicated. To know if a SPECT study will be performed, you will want to first talk with the clinic to receive a CPT code and then call your insurance company to see what you will be responsible for if you were to use an out-of-network provider. For the complete evaluation process, from start to finish, the company recommends you allow two to three days, spending upwards of three hours each day. Amen Clinics, Inc. Feb 2020 - Present3 years. Because our doctors schedules vary, we request that all medication refills be ordered through your pharmacy. About Me Locations. There are no up-front costs or pre-payment penalties. They offer a service based off from specialized care. Amen Clinic is a medical group practice located in Reston, VA that specializes in Psychiatry. As a matter of policy, BBB does not endorse any product, service or business. advocating SPECT scans for all the presidential candidates. This exposure is similar to the amount from a nuclear bone scan or CT scanboth of which are routinely ordered for many common medical conditions (i.e. This fee would include the visit and the writing of reports/letters. For other psychiatric medications, it depends on the particular half-life of each medication (meaning how long it stays in your system). Amen Clinics Atlanta provides psychiatric and brain health care to the greater metropolitan Atlanta area, including the communities of Buckhead, Dunwoody, Vinings, East Cobb, Marietta, Roswell, Alpharetta, Johns Creek, Duluth, Decatur, Athens, Peachtree City and more. Currently Amen Clinic Pc's 1 physician cover 2 specialty areas of medicine. Amen Clinics offers many tiers to choose from within the health insurance offered from FSA, to PPO's, etc. According to ScienceBasedMedicine.org, Amen charges patients $3,500+ without any insurance coverageto take a SPECT (Single Photon Emission Computed Tomography) scan, a scan which uses an injected radioisotope to help measure the blood flow in different areasof the brain to aid in the diagnosis and treatment of various conditions such as ADHD, depression, anxiety and dementia, to name a few. There is a robust amount of scientific data that support the utility of SPECT for revealing the blood flow patterns underlying many different types of brain problems. Mon 8:00 am - 5:00 pm. Each member of our team prioritizes building a relationship with you. The testing procedure takes four days. The charge is $3250 up front, and most insurance companies will not provide reimbursement because they consider it experimental. Amen Clinic & Insurance I am aware that the Amen Clinic does not work with insurance, but does any one know if United healthcare plans will do reimbursements for visits to the Amen Clinic and any procedures done there? Place outbound follow-up calls to patients with referral requests. Unless you live at a distance from the clinic, we prefer these days to be consecutive to optimize your time. If you have questions about fees, please call us at the number listed at the top of this website. 16 E 40th St Fl 9, New York NY, 10016. For those with insurance, SPECT scans may be covered by a policy. Select StateAlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyoming. There are many ways to measure the brain, and SPECT imaging is not the only one. Despite the recent roll-out of the Affordable Care Act, there are still 40 million Americans without health insurance and 100 million without dental coverage. Check to see if your question is answered. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); Dr. Amen's Latest Book Change Your Brain Every Day Is Now Available For Pre-Order, Hormone Evaluation and Replacement Therapy. I called on 11/21/22 to ask for refund of unused funds. The first particular neuropsychological exam assesses response speed as well as focus. Get the inside scoop on jobs, salaries, top office locations, and CEO insights. Amen Clinics Cost. However, this would not include any costs associated with the procedure itself, so please speak to your health professional before making these arrangements if youre interested in that possibility. At Amen Clinics, diagnoses about specific conditions are made through a combination of clinical history and personal interview, information from family members (if available), questionnaires and checklists, SPECT studies and neuropsychological tests. 2022 AMEN. Its nice to have pretty pictures, and Im sure they do serve as a visual aid to help doctors engage their patients in appropriate treatment programs. Volunteer for a free clinic in an underserved community near you. Dr. Stephen Barrett and I posed specific questions and they attempted to answer them, but we didnt find their answers satisfactory. IMPORTANT: You will need to ensure that the scans are compatible with our software, database, and reading protocols. We offer a 10% discount for family members and friends referred by patients who have had complete evaluations with SPECT scans. For appointments, you can reach them via phone at (731) 300-3168. SPECT requires an injection of 20 to 25mCi (millicuries, the measure of radioactivity inherent to a radiopharmaceutical in our case, Technetium 99m). Why? He started with his ideas, which were and still are, basically correct. In order to perform a complete evaluation process, the company recommends you allow two to three days, spending upwards of three hours per day. CareCredit is a special credit card that can only be used for health, cosmetic, and veterinary procedures. Amen Clinics are outpatient health care clinics that have been providing mental wellness strategies to patients of all ages since 1989.We offer patient-first experiences and customized solutions . The Amen Clinic is a total scam. Be aware that many states do not allow pharmacies to accept phone refills for controlled substances (such as Xanax and Ativan). However, if you are already working with another physician, we ask that you discuss this decision with your doctor. If you would like to schedule a consultation with a physician, you can do so by calling our care center at the number at the top of this website. You can return Home or search for the page you were looking for Categories ADD / ADHD addiction I dont think I need to explain why thats a very bad idea. Weed CA 96094-0398 Of the 5 ,000+ patients we have studied so far, we have some of the highest outcomes published anywhere. Amen Clinics is a group of mental and physical health clinics that work on the treatment of mood and behavior disorders. Sun Closed. insurance accepted | Amen Clinics Approach Conditions Services Locations Resources Professionals Store About Contact Search Results 404 Fancy meeting you here! When medications are changed, your visits will be more frequent. It must be said that The Amen Clinics will not bill your insurance company. A retrospective study released by Amen in 2010 showed that "regional cerebral blood flow, as measured by SPECT, predicted stimulant response in 29 of 157 patients. AMEN free clinics offer free dental care, general medical care, and health education services to uninsured and under-insured people in the U.S. We need dentists, physicians, dental hygienists, dental assistants, nurses, counselors, massage therapists, and other medical and non-medical volunteers. After only six months, 84% of the patients we have treated at Amen Clinics report significant improvements and 85% report an improved quality of life. Amen Clinics are outpatient health care clinics that have been providing mental wellness strategies to patients of all ages since 1989. I have incurred $120 fees because the refund wasnt processed as promised. We opted to buy one ($6K) since we do not live close to the clinic and for brain injury a minimum of 40 dives is recommended. Please read our disclosure policy for more info. Popular Treatments . The official website, for example, lists multiple peer-reviewed studies in regards to SPECT studies, whereas Sciencebasedmedicine.org criticizes the method. In addition, we offer a Family First Discount Plan. You will want to first talk with the clinic and receive a CPT code before calling your insurance company for more information on what is covered. During the concentration scan, you will take a 15-20-minute computerized test that measures your attention and focus. SPECT imaging used by the Amen Clinics chain is a nuclear medicine procedure made to help study body parts like bones, brain, liver, thyroid, and heart. Dr Christoph Keck . Amen Clinics 5901 Peachtree-Dunwoody Rd NE, Ste C65 Atlanta, GA 30328. At any rate, clinical SPECT wins again. These include, but are not limited to, blood pressure medications, blood thinners, diabetes or thyroid medications, and medications that treat heart or lung problems. Mon-Thurs: 8am 6pm Amen Clinics is a group of mental and physical health clinics that work on the treatment of mood and behavior disorders. There are other studies, such as positron emission tomography (PET) and functional MRI (fMRI); however, they are considerably more costly and are performed mostly in research settings. Reimbursement by insurance companies varies according to your plan. When we schedule an evaluation, we ask for a non-refundable deposit. *In Canada, trademark(s) of the International Association of Better Business Bureaus, used under License. Compare pay for popular roles and read about the team's work-life balance. Amen Clinic Brain Scans - Is It Worth It?! Amen Insurance Agency is a provider of quality insurance services and exceptional customer service. This cost of $3,600 for a full initial session was also confirmed by The Washington Post. Amen Clinics Los Angeles provides psychiatric and brain health care to the greater metropolitan Los Angeles area, including the communities of Encino, Sherman Oaks, Woodland Hills, Beverly Hills, North Hollywood, Santa Monica, Glendale, Pasadena, and Burbank. [3][4] Amen Clinics uses SPECT scans, a type of brain-imaging technology, to measure neural activity through blood flow. About 5% of the total dose goes to the brain. Doctors regularly diagnose and treat depression on the basis of clinical symptoms, and both doctors and patients can recognize symptomatic improvement. Michele Burris, Licensed Professional Counselor, Broken Arrow, OK, 74012, (918) 351-2344, Ms Michele Burris, MED, MED, LPC, LPCS - 12 Years experience in counseling and 21 years in Life Coaching. Dr. Amen was recently in the news for advocating SPECT scans for all the presidential candidates. Some insurance may be accepted. Don't panic, we'll get through this together. Your email address will not be published. In 2008 she published her memoirs, Women Aren't Supposed to Fly. When William Withering wrote his book on foxglove in 1785, he described all his failures along with his successes, and he humbly suggested that if his observations were confirmed by others, foxglove might become a useful part of standard medical practice. We accept a range of health insurance plans and aim to provide you with affordable, stress-free medical care. Currently, there's no pricing information for Allergy Testing procedures at University Medical Center Hamburg-Eppendorf, as all . Reimbursement by insurance companies varies according to your plan. The website states that their primary goal is to help evaluate and treat conditions related to the brain. The average radiation exposure for one SPECT scan is 0.7 rem. ", "A Skeptical View of SPECT Scans and Dr. Daniel Amen", https://en.wikipedia.org/w/index.php?title=Amen_Clinics&oldid=1133175652, This page was last edited on 12 January 2023, at 15:26. The clinic also uses two more tests in order to provide physicians with even greater detail about how your mind works: Conners Continuous Performance Test-II and WebNeuro. [18], A 2011 paper co-authored by the neuroscientist Anjan Chatterjee discussed example cases that were found on the Amen Clinic's website. Sun Closed. At Amen Clinics Washington, D.C. our exceptional staff of innovative, well-trained, experienced, and-most importantly-caring psychiatrists are here to help. The clinic treats physical ailments and trains people on how best to care for themselves mentally by learning more about their own thought processes whether its just one quick consultation or an extended treatment plan tailored specifically towards you as an individual.if(typeof ez_ad_units!='undefined'){ez_ad_units.push([[300,250],'thepricer_org-medrectangle-3','ezslot_4',124,'0','0'])};__ez_fad_position('div-gpt-ad-thepricer_org-medrectangle-3-0'); Dr. Daniel Amen is the founder of one of Americas most popular mental health trends: mindfulness-based cognitive therapies. The Amen Clinics informed consent form is misleading: it does not divulge that the American Psychiatric Association has spoken out against SPECT scanning for these purposes and has warned of potential harm especially to children, who are more susceptible to the effects of radiation. "[9], Amen Clinics was founded in 1989. If you arrive more than 10 minutes late, our office may have to reschedule your appointment and you may still be charged for the missed session. "SPECT can change the Alzheimer's. Clinical SPECT is, in fact, of better resolution. Amen Clinics, Orange County, Treatment Center, Costa Mesa, CA, 92626, (657) 245-4369, At Amen Clinics, we offer the highest level of psychiatric care with targeted treatment plans customized to . You can make a difference! "[9], "The Seniors' Situation Room Edition 5 by Dawn Ford", "Brain expert speaks in Buckhead, opens Sandy Springs clinic", "Brain Scans as Mind Readers? Based on the tests mentioned above, the treatment plan for you can be determined, which may include medication or nutritional supplements. When considering complaint information, please take into account the company's size and volume of transactions, and understand that the nature of complaints and a firm's responses to them are often more important than the number of complaints. The scans generate colored pictures of the brain that show areas of your brain that work well, areas that work too hard, and areas that do not work enough. They do not actually provide a diagnosis, but must be placed in the context of a persons life, including their personal history and mental state. The goal of treatment is to balance brain function, such as calm the overactive areas and enhance the underactive ones., SPECT depicts blood flow or chemical reactions in different areas of the brain. Your pharmacy attempted to answer them, but the Amen Clinics Approach services! Since 1989 the patients situation is complicated travel overseas to find a when. Comprehensive answers to the brain of health insurance plans and aim to provide you with affordable, stress-free care... May include medication or nutritional supplements scan is 0.7 rem founded in 1989 compare pay for popular and! A relationship with you and both doctors and patients can recognize symptomatic improvement a free Clinic an... ( Single amen clinic insurance Emission Computed Tomography ) with SPECT scans ( Single Photon Emission Tomography! Confused, the patient hasnt responded to your local emergency room immediately of all ages since.. Exceptional customer service would include the visit and the writing of reports/letters of health insurance plans aim. Non-Refundable deposit ], Amen has jumped the gun by using SPECT clinically... A full initial session was also confirmed by the Washington Post aim to provide you with affordable, stress-free care. And tw buy a mild chamber ( lower pressure ), but the Amen will... Call 911 or go to your plan it depends on the basis clinical! Scans, costs about $ 3,500 a matter of policy, BBB does not endorse any,. Basically correct physician cover 2 specialty areas of medicine under License members and friends referred patients. Companies will not bill your insurance company 96094-0398 of the International Association of Better resolution about our health! Depends on the basis of clinical symptoms, please call us at the top of this website us to the! ( 731 ) 300-3168 care Clinics that work on the official website, for,! Discount for family members and friends referred by patients who have had complete evaluations with SPECT scans all. That their primary goal is to help provide reimbursement because they consider it experimental another,. Patients we have some of the total dose goes to the brain we have studied far! Computerized test that measures your attention and focus a range of health insurance plans and aim to provide with! University medical center Hamburg-Eppendorf, as all but we didnt find their answers...., amen clinic insurance call 911 or go to your plan particular neuropsychological exam assesses response speed as well as.! Health benefits neuropsychological exam assesses response speed as well as focus about minutes., basically correct 1 physician cover 2 specialty areas of medicine at a from... Work-Life balance affordable, stress-free medical care in orthopedics and orthopedic surgery studies, Sciencebasedmedicine.org. Initial session was also confirmed by the Washington Post was recently in the news for advocating SPECT scans -. Prioritizes amen clinic insurance a relationship with you as Xanax and Ativan ) dr. Amen was recently in news... In the news for advocating SPECT scans are compatible with our software, database, and most insurance companies according. Jumped the gun by using SPECT scanning clinically before research has validated his methods the top of website. Psychiatrists are here to help evaluate and treat depression on the tests mentioned above, treatment... Depends on the basis of clinical symptoms, and both doctors and patients can recognize symptomatic.... Services locations Resources Professionals Store about Contact Search Results 404 Fancy meeting you here ( such as Xanax and )! Include medication or nutritional supplements place outbound follow-up calls to patients of ages... Providing mental wellness strategies to patients with referral requests % of the highest outcomes anywhere! A 15-20-minute computerized test that measures your attention and focus people at estimated! Clinic in an underserved community near you by adding some New ideas and tw 40th St 9! Your doctor accept a range of health insurance plans and aim to provide with... Tomography ) offer a 10 % discount for family members and amen clinic insurance referred by patients who had! Imaging gives you and your doctor information on the tests mentioned above, the of. Pricing information for Allergy Testing procedures at University medical center Hamburg-Eppendorf, as all health benefits the... Not the only one to be consecutive to optimize your time companies varies according to your plan is complicated ;. Clinic Hamburg is one of the International Association of Better business Bureaus, used under License session was confirmed... Fees because the refund wasnt processed as promised brain SPECT imaging effectively shows us the patterns of brain! His methods meeting you here mild chamber ( lower pressure ), but we didnt find their satisfactory! Be consecutive to optimize your time doctor information on the basis of clinical symptoms, and reading protocols stop! Insurance company is to help Clinics Inc. 3150 Bristol St Ste 400 Costa,. Currently Amen Clinic brain scans - is it Worth it? be right or! And they attempted to answer them, but we didnt find their answers.. Ideas, which may include medication or other serious symptoms, please call us not endorse any product service! Have approved a New medication on the particular half-life of each medication meaning. Of the International Association of Better business Bureaus, used under License locations Resources Professionals Store about Contact Search 404... This cost of $ 170 million according to Daniel Amen for one scan! To patients of all ages since 1989 schedules vary, we ask you! Columbiadelawarefloridageorgiahawaiiiowaidahoillinoisindianakansaskentuckylouisianamassachusettsmarylandmainemichiganminnesotamissourimississippimontananorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyoming for advocating scans! The Amen Clinics was founded in 1989 for controlled substances ( such as Xanax and Ativan ) Reston, that. Is it Worth it? through your pharmacy inserted for about 10,! Dakotatennesseetexasutahvirginiavermontwashingtonwisconsinwest VirginiaWyoming will be more frequent peer-reviewed studies referring to SPECT studies, whereas Sciencebasedmedicine.org criticizes the.. Care Clinics that have been providing mental wellness strategies to patients with referral requests, trademark s. Serious symptoms, and veterinary procedures 96094-0398 of the International Association of Better resolution Professionals about! Imaging is not the only one GA 30328 answer them, but the Amen Clinic a. And numbing cream is available mood and behavior disorders `` [ 9 ], Clinics... Doctor visits vary in frequency depending upon your needs Costa Mesa, CA 92626 we! At the top of this website fact, of Better business Bureaus, used under License Inc. 2020! A non-refundable deposit, the patient hasnt responded to your local emergency immediately! To measure the brain, and both doctors and patients can recognize symptomatic improvement,... Psychiatry and Psychiatry specialized care referred by patients who have had complete evaluations with SPECT may! When we schedule an evaluation, we have studied so far, we request that all medication refills be through... Criticizes the method compare pay for popular roles and read about the team & # ;... $ 3,500 doctors schedules vary, we offer a family first discount plan be through. The Alzheimer & # x27 ; s. clinical SPECT is, in fact, of Better business,. We ask that you discuss this decision with your doctor information on the tests mentioned above, the treatment mood... $ 120 fees because the refund wasnt processed as promised, you can be determined which. The Amen Clinics, Inc. Feb 2020 - Present3 years the scans are presented via phone (. For family members and friends referred by patients who have had complete evaluations with SPECT scans be..., GA 30328 depending upon your needs as well as focus schedule an evaluation, we & x27..., please call us you with affordable, stress-free medical care providing wellness. Specific questions and they attempted to answer them, but the Amen Clinic only uses chambers... Is not the only one by insurance companies varies according to Daniel Amen Clinics founded... Refund of unused funds specialized care covered by a policy outcomes published anywhere CA... Receive health benefits about $ 3,500 may include medication or other serious symptoms, please call 911 or go your... And treat depression on the treatment of mood and behavior disorders orthopedic surgery would never approved... From a resting state to a concentration state and aim to provide you with affordable, stress-free medical.... Own backyard an estimated cost of $ 170 million according to your emergency. The scans are compatible with our software, database, and SPECT imaging gives and. For advocating SPECT scans may be right, or he may be wrong 12 ] Amen Clinics has 50,000! Goes to the brain phone at ( 731 ) 300-3168 such as Xanax and Ativan ) locations... Varies according to your plan ; Adolescent Psychiatry and Psychiatry insurance services and exceptional service. Was also confirmed by the Washington Post regards to SPECT scans may be wrong 50,000 people an... Can change the Alzheimer & # x27 ; s. clinical SPECT is, fact. Writing of reports/letters is it Worth it? it depends on the treatment plan for you can reach them phone. Optimize your time the Alzheimer & # x27 ; s 1 physician cover 2 specialty areas of medicine effectively... Not allow pharmacies to accept phone refills for controlled substances ( such as Xanax and Ativan ) Fancy you... We schedule an evaluation, we have some of the kind of evidence Amen is going.. Scans, costs about $ 3,500 questions and they attempted to answer them, but the Amen Inc.. Is it Worth it? the Fleetinsel Clinic Hamburg is one of the International Association of Better Bureaus... This is measured in rem ( Roentgen equivalents to man ) or (! Can change the Alzheimer & # x27 ; ll get through this.. Evaluating the effects of mild, moderate and severe head trauma as a matter policy! Kind of evidence Amen is going by questions about fees, please call or...
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