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PATIENT REGISTRATION INFORMATION DATE MALE FEMALE SINGLE MARRIED DIVORCED WIDOWED SOC. SEC. # BIRTHDATE NAME EMAIL ADDRESS EMPLOYER BUSINESS ADDRESS CITY STATE ZIP CITY STATE ZIP HOME PHONE WORK PHONE
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North Texas Kidney Disease is a type of kidney disease that affects individuals living in the northern region of Texas.
Healthcare providers and facilities in North Texas are required to file reports on North Texas Kidney Disease.
North Texas Kidney Disease reports can be filled out online through a designated portal provided by the health department.
The purpose of North Texas Kidney Disease reporting is to track and monitor cases of kidney disease in the region for public health reasons.
Information such as patient demographics, diagnosis, treatment, and outcomes must be reported on North Texas Kidney Disease forms.
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