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Welcome to Megastar Harbor Primary Care Patient Information Last name: First: M.I.: Address: City: Zip: Sex: Marital Status: Employer: Cell Phone: Home Phone: Date of Birth: SSN: Gender: Race: Ethnicity:
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Welcome to MedStar Harbor is a program designed to welcome new patients and visitors to the MedStar Harbor Hospital.
All new patients and visitors to MedStar Harbor Hospital are required to fill out the welcome form.
The welcome form can be filled out online on the MedStar Harbor Hospital website or in person at the hospital registration desk.
The purpose of welcome to MedStar Harbor is to gather important information about new patients and visitors in order to provide them with the best possible care.
Information such as name, contact information, medical history, insurance information, and emergency contacts must be reported on the welcome form.
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