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Los Angeles Orthopedic Surgery Specialists REGISTRATION FORM (Please Print) Today's date: PCP: PATIENT INFORMATION Patients last name: First: Is this your legal name? Yes Middle: If not, what is your
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It is a document used for registering orthopedic patients in English language.
Orthopedic clinics or hospitals are required to file registration-form-englishdoc - laorthos.
The form must be filled out with accurate information about the orthopedic patients in English language.
The purpose of registration-form-englishdoc - laorthos is to register and document information about orthopedic patients in English language.
Information such as patient name, date of birth, contact details, medical history, and treatment plan must be reported on registration-form-englishdoc - laorthos.
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