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Medical Registration #: Name: Surname Department of Diagnostic Imaging 80 Grand Ave., W. Chatham, ON, N7L 1B7 Tel: (519 3526401 Ext. 6530 Fax: (519 4376040 Prov.: Postal Code: Telephone #: Health
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How to fill out medical registration name surname
How to fill out medical registration name surname:
01
Start by filling out your full legal name in the designated field. Make sure to include your first name, middle name (if applicable), and last name accurately.
02
Double-check the spelling of your name to ensure there are no errors or typos. It is essential to provide your correct name to avoid any confusion or discrepancies in your medical records.
03
If you have a preferred name or nickname that you commonly use, you can mention it in a separate field specified for that purpose.
04
In some cases, you may be required to provide your maiden name or any previous last names if you have recently changed your surname due to marriage or other reasons. Include this information if necessary.
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Complete your registration by submitting the form with the accurate information provided in the name and surname sections.
Who needs medical registration name surname?
01
Anyone seeking medical services or treatment at a healthcare facility will need to fill out the medical registration form, including their name and surname.
02
This requirement applies to both new patients and existing patients who revisit the facility for follow-up appointments or additional treatments.
03
The medical registration process ensures that accurate patient information is recorded, allowing healthcare providers to deliver appropriate care and maintain comprehensive medical records. The inclusion of name and surname helps in identifying and differentiating one patient from another.
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