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1 10840 Sheldon Road Suite B Tampa, FL 33626 (813) 235-4270 fax (813) 920-3654 NEW CLIENT ACCEPTANCE FORM February 10, 2014, Patient Name ...
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01
Start by gathering all the necessary information. This may include personal details, medical history, insurance information, and any other relevant documents or records.
02
Carefully read through the instructions and guidelines provided by the ABF client continuing care program. Make sure you understand the requirements and expectations before proceeding.
03
Begin filling out the client continuing care form by providing your personal information, such as your name, address, contact information, and date of birth. Double-check the accuracy of all the details you provide.
04
Next, provide any medical information required, including any existing conditions, allergies, medications you are currently taking, and any previous treatments or surgeries you have undergone. It is important to be thorough and accurate in this section, as it will help the healthcare providers understand your specific needs.
05
If applicable, provide information about your insurance coverage. This may include your insurance provider's name, policy number, and any other relevant details. If you do not have insurance, indicate that as well.
06
In some cases, you may be required to provide information about your primary care physician or any specialists you are currently seeing. Include their names, contact information, and the reason for your visits, if applicable.
07
Take the time to carefully review the completed form for any errors or missing information. Make sure all sections are properly filled and nothing has been overlooked.
08
Once you are confident that the form is complete and accurate, sign and date it as required. If there are any additional documents or forms that need to be submitted along with the client continuing care form, make sure to include them as well.

Who needs ABF client continuing care?

ABF client continuing care is typically needed by individuals who require ongoing medical or healthcare services. This could include individuals with chronic illnesses, disabilities, or those recovering from surgery or other medical procedures. It is also applicable to individuals who may require regular check-ups, monitoring, or assistance with daily activities due to their health conditions. The program aims to provide comprehensive and continuous care to individuals in need, ensuring their wellbeing and addressing any healthcare needs they may have.

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