Each state has it's own laws and each insurance carrier may also have rules as well. There is no set answer. The office should have a policy that it follows and also verify coverage with insurance carriers to make sure that policy complies. Without seeing the state consent it is hard to say but I would think you could alter the state consent to be useful for commercial and cash patients. (This is not legal advice. You need to make sure any final documents are verified by your legal counsel.)