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EMPLOYMENT APPLICATION TWIN LAKES MEDICAL FOUNDATION LOGO 910 Wallace Avenue Litchfield, Kentucky 42754 Equal Opportunity Employer Smoke and Drug Free Workplace APPLICATIONS SHOULD BE SENT TO CENTRAL
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How to fill out Twin Lakes Medical Foundation:

01
Begin by gathering all necessary personal information, such as your full name, address, and contact details.
02
Next, provide your insurance information, including the name of your insurance company and your policy number.
03
Fill out your medical history accurately, including any pre-existing conditions, allergies, or medications you are currently taking.
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Complete the section requesting information about your primary care physician, including their name, address, and contact number.
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If applicable, provide any additional information or documentation required, such as results from recent medical tests or referrals from other healthcare providers.
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Review the form for any errors or missing information before submitting it to the Twin Lakes Medical Foundation.

Who needs Twin Lakes Medical Foundation:

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Individuals seeking comprehensive medical care and services.
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Patients who require specialized treatments or procedures.
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Those who wish to have a medical record at the Twin Lakes Medical Foundation for continuity of care.
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People in need of financial assistance for medical treatments or access to healthcare programs supported by the foundation.
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Patients transferring their medical records to Twin Lakes Medical Foundation for better coordination of care.
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Individuals interested in supporting the foundation's mission and contributing to its initiatives.
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Twin Lakes Medical Foundation is a non-profit organization dedicated to supporting healthcare initiatives in the local community.
The foundation is required to file annual reports with the IRS and state regulatory agencies.
To fill out the foundation's documents, detailed financial information and program activities must be provided.
The purpose of Twin Lakes Medical Foundation is to provide financial support for medical services, research, and education in the community.
Information such as financial statements, board members, and program accomplishments must be reported on Twin Lakes Medical Foundation documents.
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