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Radiology Children's Scottish Rite 404-785-2787 Fax: 404-785-9062 Children's Election 404-785-6078 Fax: 404-785-9082 Patient's LEGAL Name: DOB: Sex: M F LMP: Parent/Guardian's Name: Phone: Cell/Work:
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What is hxreason for exam?
The hxreason for exam is a form that needs to be filled out to provide a reason for the examination.
Who is required to file hxreason for exam?
Any individual or entity who wishes to have an examination must file the hxreason for exam.
How to fill out hxreason for exam?
To fill out the hxreason for exam form, you need to provide the necessary information regarding the reason for the examination.
What is the purpose of hxreason for exam?
The purpose of hxreason for exam is to provide an explanation or justification for the need of an examination.
What information must be reported on hxreason for exam?
The hxreason for exam form requires the reporting of the specific reason or justification for the examination.
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