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TLC Pediatrics, P.A. Where Kids Come First Daniel J. Moulton, MD, FLAP Jenna L. O'Brien, DO, FLAP Chandra Garvey, RN, MS, PNP Mystic Nebula, RN, MS,
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How to fill out TLC Pediatrics P:

01
Start by carefully reading the instructions provided on the form.
02
Fill in your personal information accurately, including your name, address, contact information, and any other details requested.
03
Provide information about the child who needs medical care from TLC Pediatrics, such as their name, age, and any known medical conditions.
04
If applicable, indicate the primary caretaker or guardian responsible for the child's medical decisions and include their contact information.
05
Fill out the insurance information section, including the name of the insurance company, policy number, and any other necessary details.
06
If the child has any existing healthcare providers, list their names, addresses, and contact information.
07
Answer any additional questions on the form regarding the child's medical history, allergies, medications, and any other relevant information.
08
Review the completed form for accuracy and make any necessary corrections before submitting it.

Who needs TLC Pediatrics P:

01
Parents or legal guardians seeking medical care for their children from TLC Pediatrics.
02
Families or individuals who have been referred to TLC Pediatrics by another healthcare provider.
03
Individuals who are considering TLC Pediatrics as their primary pediatric healthcare provider.
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TLC Pediatrics P is a pediatric medical practice.
The owners or operators of TLC Pediatrics P are required to file.
To fill out TLC Pediatrics P, one must provide accurate information about the medical practice's operations and finances.
The purpose of TLC Pediatrics P filing is to report the financial status and operations of the pediatric medical practice.
Information such as revenue, expenses, patient volume, and any regulatory compliance issues must be reported on TLC Pediatrics P.
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