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Kelly Shaw M.S.O.M. L. Ac Acupuncture and Chinese Medicine 6018 SE Stark St. Portland, OR 97215 (503) 8089145 Initial Intake Form Thank you for taking the time to complete the following information
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What is kelly-shaw-taborview-initial-patient-registration-forms-2-2pdf?
It is a patient registration form for Taborview Medical Center.
Who is required to file kelly-shaw-taborview-initial-patient-registration-forms-2-2pdf?
All new patients visiting Taborview Medical Center are required to fill out this form.
How to fill out kelly-shaw-taborview-initial-patient-registration-forms-2-2pdf?
The form should be completed with accurate personal and medical information, signed, and submitted to the medical center.
What is the purpose of kelly-shaw-taborview-initial-patient-registration-forms-2-2pdf?
The form is used to collect important information about the patient for medical records and treatment purposes.
What information must be reported on kelly-shaw-taborview-initial-patient-registration-forms-2-2pdf?
The form typically requires personal details, medical history, insurance information, and emergency contact information.
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