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FAMILY HEALTH CENTER JOB DESCRIPTION: REPORTS TO: ALONG WITH: SUPERVISES: PHYSICIAN Medical Director Other Physicians and Advanced Practice Nurses Functional supervision of nursing and clinical staff

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How to fill out physician - 11-26-13:

1. Start by entering your personal information such as your full name, date of birth, address, and contact details in the designated fields.
2. Next, provide your medical history including any pre-existing conditions, allergies, previous surgeries, and current medications you are taking. This information is crucial for the physician to understand your health background.
3. In the section regarding the reason for your visit, describe your symptoms or the purpose of your appointment as accurately and comprehensively as possible. This will help the physician to diagnose and treat you effectively.
4. If you have any specific concerns or questions, note them down on the form to discuss with the physician during your appointment.
5. Fill in the insurance information section with your insurance provider details, policy number, and any required authorization or referral numbers.
6. Review the completed form for any errors or omissions before submitting it to the physician's office. Double-check if you have signed and dated the form.

Who needs physician - 11-26-13:

1. Individuals who are experiencing health issues or require medical attention.
2. People who need to establish a primary care physician for routine check-ups and preventive healthcare.
3. Those who have been referred to a specialist and need to provide their medical history and current symptoms for evaluation and treatment.
4. Individuals who are due for regular screenings or vaccinations and need a physician's guidance.
5. Patients who need to update their medical records or discuss any changes in their health status with a healthcare professional.
6. People who require a prescription refill or need a new prescription for medication.
7. Individuals seeking a second opinion or alternative treatment options for an existing condition.
8. Those who are seeking medical clearance for a specific activity or procedure.

Remember, it is always recommended to consult a healthcare professional or the specific instructions provided by your physician's office when filling out any medical forms.

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