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HCA PHYSICIAN SERVICES ROCKY MOUNTAIN PEDIATRIC SURGERY AUTHORIZATION FOR RELEASE OF PROTECTED HEALTH INFORMATION (PHI) Section A: This section must be completed for all Authorizations Patient Name:
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How to fill out Rocky Mountain Pediatric Surgery:

01
Start by gathering all necessary documents and information. This may include the patient's medical history, insurance information, referral from a primary care physician, and any relevant test results.
02
Contact the Rocky Mountain Pediatric Surgery center to schedule an appointment. They will provide you with the necessary forms and paperwork.
03
Arrive at the appointment on time and bring all the gathered documents. Make sure to have identification and any insurance cards or payment methods required.
04
Upon arrival, you will need to check-in at the front desk. You may be asked to provide additional information or fill out any remaining paperwork.
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The receptionist will guide you through the process and may direct you to the waiting area. It's essential to remain patient and follow any instructions given.
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Once called in, a nurse or medical assistant will take the patient's vital signs and gather any additional medical information relevant to the surgery.
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The surgeon or a member of their team will meet with you to discuss the procedure, answer any questions, and obtain consent for the surgery.
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If needed, the surgeon may order additional tests or consultations before proceeding with the surgery. This could include blood work, X-rays, or meetings with other specialists.
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After all necessary steps have been completed, the surgery date will be scheduled. The surgeon's office will provide you with instructions regarding any pre-operative preparations, such as fasting or medication adjustments.
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On the day of the surgery, make sure to follow all instructions given regarding fasting, medication, and arrival time. Bring any required items, such as a change of clothes or personal items for after the surgery.

Who needs Rocky Mountain Pediatric Surgery:

01
Children who require surgical intervention for various medical conditions or injuries.
02
Parents or guardians who have been referred to Rocky Mountain Pediatric Surgery by their child's primary care physician or other medical professional.
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Individuals seeking specialized pediatric surgical care provided by a highly trained team of surgeons and medical staff at Rocky Mountain Pediatric Surgery.
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Rocky Mountain Pediatric Surgery specializes in surgical care for children.
Parents or guardians of pediatric patients may be required to file Rocky Mountain Pediatric Surgery for their child.
Rocky Mountain Pediatric Surgery can be filled out by providing relevant medical information and patient details.
The purpose of Rocky Mountain Pediatric Surgery is to provide surgical care for pediatric patients.
Information such as patient's medical history, current condition, and surgical needs must be reported on Rocky Mountain Pediatric Surgery.
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