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Deer Park Family Doctors
NOTICE OF PRIVACY PRACTICES
Effective date: October 6, 2003,
As required by the privacy regulations created as a result of the Health Insurance Portability and
Accountability
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How to fill out Deer Park Family Doctors:
01
Start by gathering all necessary personal information, such as your full name, date of birth, address, and contact information.
02
Fill in your insurance details, including your insurance provider's name, policy number, and any relevant information.
03
Provide a complete medical history, including any previous diagnoses, medications, allergies, and surgeries.
04
Note any current symptoms or concerns that you would like to discuss with the doctor.
05
If you have any specific preferences regarding your healthcare, such as a preferred gender for your doctor or any language requirements, make sure to mention these.
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Ensure that all sections of the form are filled out accurately and completely before submitting it to the Deer Park Family Doctors.
Who needs Deer Park Family Doctors:
01
People living in or around Deer Park who are in need of primary medical care.
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Individuals seeking comprehensive healthcare services for themselves or their families.
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Those who require routine check-ups, vaccinations, or preventive care.
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Patients with chronic conditions who require ongoing management and monitoring of their health.
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Individuals in need of urgent medical attention or treatment for acute illnesses or injuries.
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Individuals who prefer a local healthcare provider within the Deer Park community.
Remember, it is essential to consult with a healthcare professional or contact the Deer Park Family Doctors directly for specific medical concerns or inquiries.
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