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TEXAS HEALTH CARE, P.L.L.C. PHYSICIAN: P.O. Box 961205 Fort Worth, Texas 761611205 BEING SEEN TODAY LOCATION: DATE: Chart # PATIENT REGISTRATION INFORMATION If Patient cannot be billed for these services
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What is thc regis form ftthd99p02?
The thc regis form ftthd99p02 is a registration form for tracking purposes.
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What information must be reported on thc regis form ftthd99p02?
The thc regis form ftthd99p02 requires reporting of details related to the specified activities.
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