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Dr. Jill C. Shortly, ND, MAMS Hands On 13128 Totem Lake Blvd NE, #104 Kirkland, WA 98034 pH: (425× 8142045 www.eastsidenaturalmedicine.com N a t u r an l M e d i c i n e DATE PATIENT PROFILE Last
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Start by carefully reading the instructions provided on the patient profile 06doc form.
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Begin by entering your personal information, such as your full name, date of birth, and contact details.
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Provide your medical history, including any existing conditions, allergies, or medications you are currently taking.
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Fill in your emergency contact information, ensuring that it is accurate and up to date.
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If applicable, provide details about your health insurance coverage, including the name of your insurance provider and your policy number.
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Who needs patient profile 06doc:

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Patients visiting a healthcare facility, hospital, or clinic.
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Individuals undergoing medical examinations or treatments.
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Patients who want to provide a comprehensive overview of their medical history and personal information to healthcare professionals.
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Patient profile 06doc is a form used to collect and document information about a patient's medical history, current medications, allergies, and other important health information.
Healthcare providers, such as doctors, nurses, and pharmacists, are required to file patient profile 06doc for each of their patients.
Patient profile 06doc can be filled out by healthcare providers manually or electronically, by documenting the patient's medical history, current medications, allergies, and other important health information in the designated fields.
The purpose of patient profile 06doc is to ensure that healthcare providers have access to accurate and up-to-date information about a patient's medical history, current medications, allergies, and other important health information.
Patient profile 06doc must include information such as the patient's medical history, current medications, allergies, previous treatments, and any other relevant health information that may impact their care.
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