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Patient Name: DOB: University of Wisconsin Hospital and Clinics University of Wisconsin Medical Foundation CONFIDENTIAL PAIN CLINIC QUESTIONNAIRE MR #: Date: THE PAIN CLINIC IS LOCATED AT 5249 E.

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1. Visit the official website of the University of Wisconsin hospital.
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7. Review the information you have entered to ensure its accuracy and completeness.
8. Submit your form electronically if available, or print it out and bring it to the hospital on the day of your appointment.
9. Arrive at the hospital on time for your appointment and check in at the designated registration area.

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What is university of wisconsin hospital?

The University of Wisconsin Hospital is a teaching hospital affiliated with the University of Wisconsin School of Medicine and Public Health, located in Madison, Wisconsin.

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Healthcare providers and facilities that provide services or treatments at University of Wisconsin Hospital are required to file.

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University of Wisconsin Hospital forms can usually be filled out online through their official website or submitted in person at the hospital.

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The purpose of University of Wisconsin Hospital is to provide outstanding patient care, educate health professionals, and conduct research in order to improve healthcare.

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Information such as patient demographics, medical treatments provided, and insurance details must be reported on University of Wisconsin Hospital forms.