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KING GEORGE PEDIATRICS Ilya Navels, M.D. Medical Records Release Authorization TO: (PHYSICIANS NAME) (STREET ADDRESS) (CITY, STATE, ZIP CODE) (Office#) (Fax#) I hereby request the medical records
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How to fill out King George Pediatrics:

01
Start by gathering all necessary personal information, including the patient's full name, date of birth, address, and contact information.
02
Fill out the medical history section, providing details on the patient's current and past medical conditions, medications, allergies, and immunization history.
03
Next, provide information about the patient's primary care physician and any specialists they may be seeing.
04
Fill out the insurance information section, including the name of the insurance provider, policy number, and any relevant contact information.
05
If applicable, complete the consent forms for medical treatment and release of medical records.
06
Finally, review the form for accuracy and completeness before submitting it to King George Pediatrics.

Who needs King George Pediatrics:

01
Infants and children who require routine check-ups and vaccinations to ensure healthy growth and development.
02
Parents seeking quality pediatric care for their children, including diagnosis and treatment of various acute and chronic illnesses.
03
Families looking for a pediatric practice that offers comprehensive services, such as preventive care, developmental screenings, and specialized care for children with special needs.
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Adolescents and teenagers requiring guidance on physical and emotional health, including reproductive health and mental wellness.
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Expecting parents who are in search of a trusted pediatric provider for their newborn baby.
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Families in need of urgent care services for their children, such as treatment for minor injuries or illnesses outside of regular office hours.
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King George Pediatrics is a pediatric medical practice that provides healthcare services to children.
Parents or legal guardians of children who are patients at King George Pediatrics are required to file the necessary paperwork.
To fill out King George Pediatrics paperwork, parents or legal guardians must provide accurate information about their child's medical history and current health status.
The purpose of King George Pediatrics is to provide comprehensive medical care and support to children, ensuring their health and well-being.
Information such as the child's medical history, current health concerns, vaccinations, and any medications they are taking must be reported on King George Pediatrics forms.
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