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ASHLEY COUNTY MEDICAL CENTER ASHLEY HEALTH SERVICES ACM FAMILY HOME HEALTH EMERGENCY PREPAREDNESS MANUAL December 2014 Jimmy Still Safety Officer Phillip Gilmore Chief Executive Officer Dr. Brad Walsh

How to fill out ashley county medical center

How to fill out Ashley County Medical Center:

1. Start by gathering all necessary personal information, such as your full name, date of birth, address, contact number, and emergency contact details.
2. Next, provide your insurance information, including the name of the insurance company, policy number, and any additional coverage details.
3. Specify the reason for your visit or the medical issue you are experiencing. Include any relevant details, symptoms, or concerns.
4. Indicate your preferred primary care physician, if you have one, or if you would like to be assigned to one at Ashley County Medical Center.
5. If applicable, provide information about any allergies, chronic conditions, or medications you are currently taking.
6. Consider including a complete medical history, including any past surgeries, hospitalizations, or significant medical events.
7. If you have any specific medical preferences or requests, such as regarding pain management or end-of-life care, mention them in this section.
8. Lastly, sign and date the medical center's release of information form, giving them permission to access your medical records and share information with other healthcare providers, if necessary.

Who needs Ashley County Medical Center:

1. Individuals in need of acute medical care or emergency services.
2. Patients seeking specialized medical treatments or surgeries.
3. Those requiring access to primary care physicians for routine check-ups, preventative care, or management of chronic conditions.
4. Expectant mothers in need of prenatal care, delivery services, or postpartum support.
5. Individuals in need of physical therapy, rehabilitation services, or occupational therapy.
6. Patients in need of laboratory tests, diagnostic imaging, or other medical screenings.
7. Those in need of mental health services, counseling, or psychiatric care.
8. Individuals seeking support for substance abuse or addiction issues.
9. Elderly patients who require geriatric care, including assistance with mobility, medication management, and end-of-life support.
10. Individuals seeking community-based healthcare programs or support services.

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