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Frankie Bassoon Clinic & Private Lessons May 31st June 1st and 2nd 2013 McCormack Ranch Rio Vista CA Private Lessons: May 1st $80×40 Minutes Clinic Saturday and Sunday, June 1st and 2nd: $280 per

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2. Carefully read through the form and instructions provided. Familiarize yourself with the sections and questions to ensure accurate and complete information.
3. Begin filling out the form by providing your personal details, such as your full name, date of birth, contact information, and address. Make sure to write legibly and use black or blue ink.
4. If applicable, indicate whether you are a new patient or an existing patient of the faansie basson clinic. This information helps in managing your medical records.
5. Proceed to provide your medical history, including any past or current medical conditions, surgeries, or allergies. Be as detailed as possible to ensure proper diagnosis and treatment.
6. If required, fill in the section related to your insurance information. This may include your insurance provider's name, policy number, and any specific details related to coverage.
7. The form may also include sections to be completed by your healthcare provider. If applicable, leave these sections blank and let your doctor or nurse fill them out during your visit.
8. Once you have completed all the necessary sections, review the form for any errors or omissions. Make sure all information is accurate and up-to-date.
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