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Volunteer Services LOURDES HOSPITAL 169 Riverside Drive Binghamton, New York 13905 6077985490 www.LOURDES.com ADULT APPLICATION FOR VOLUNTEER SERVICES NAME: Last First Middle Initial ADDRESS: (Local)
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If you have been referred to Lourdes Hospital by another healthcare provider, ensure you have the referral paperwork or documentation with you.
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Lourdes Hospital is a healthcare facility providing medical services to patients.
Medical providers or facilities who have treated or provided services to patients at Lourdes Hospital are required to file.
The Lourdes Hospital form can be filled out online or manually and submitted to the appropriate authority.
The purpose of Lourdes Hospital is to report medical services provided to patients and ensure accurate record-keeping.
Information such as patient demographics, medical services provided, and billing details must be reported on Lourdes Hospital.
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