Get the free New Patient Packet - Maranatha Medical Plaza
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Jose Medina, M.D. 3334 Grey stone Way P.O. Box 3550 Valdosta, GA 31604 (229)247-1667 BILLING POLICY 1. PAYMENT IS DUE AT THE TIME OF SERVICE FOR COPAY, DEDUCTIBLE AND SELF PATIENTS. ALL UNCOVERED
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How to fill out new patient packet
How to fill out a new patient packet:
01
Begin by carefully reading through each section of the packet. Take note of any specific instructions or information that may be needed.
02
Obtain all necessary personal information such as name, date of birth, address, and contact details. It is important to provide accurate and up-to-date information.
03
Fill out the medical history section in detail. This includes providing information about past and current medical conditions, medications, allergies, and surgeries.
04
If applicable, complete the insurance and billing section. This involves providing insurance information, policy numbers, and any other relevant details.
05
Sign and date any required consent forms or legal documents included in the packet.
06
Double-check all the information you have provided to ensure accuracy and completeness.
07
Return the completed new patient packet to the designated office or healthcare facility.
Who needs a new patient packet?
01
Individuals who are new to a healthcare provider or facility and have not previously completed their patient registration.
02
Patients who are visiting a different healthcare provider or facility than their regular one, even if they have previously filled out a similar packet elsewhere.
03
Any individual who wants to establish care with a new healthcare provider or facility and requires their medical history and personal information to be documented.
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