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Anderson Hospital 6812 State Route 162 Suite 175 Maryville, IL 62062 (618) 3916102 Release of Information (618) 288 0024 Fax Information is to be released FROM: ANDERSON HOSPITAL Information is to

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How to fill out Anderson Hospital 6812 State:

1. Begin by clearly filling out your personal information such as name, address, and contact details. This ensures that the hospital can easily reach you if needed.
2. Provide your insurance information accurately, as it will help in determining coverage and potential costs.
3. Specify the reason for your visit or admission to Anderson Hospital 6812 State. This could include providing information about your symptoms, medical history, or any specific concerns you may have.
4. Fill out any consent forms or medical authorization forms required by the hospital. This is essential for the hospital to access your medical records or consult with other healthcare providers if necessary.
5. If applicable, accurately provide details about your primary care physician or any specialist you may be currently seeing. This information can support continuity of care during your hospital visit.
6. Discuss your preferences or special needs, such as dietary restrictions or accessibility requirements, ensuring the hospital can accommodate them during your stay.
7. Carefully review the completed form before submitting it to avoid any errors or missing information.

Who needs Anderson Hospital 6812 State:

1. Individuals experiencing medical symptoms or conditions that require professional medical attention. Anderson Hospital 6812 State can provide the necessary healthcare services and treatment for such individuals.
2. Patients who have been referred to Anderson Hospital 6812 State by their primary care physician or a specialist. This may be for further diagnostic testing, advanced procedures, or specialized care available at the hospital.
3. Individuals seeking healthcare services or treatments available specifically at Anderson Hospital 6812 State. This may include specialized departments, renowned physicians, or specific medical advancements that make the hospital uniquely suited to their needs.

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