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NMR Health History Form Page 1 NMR Preoperative Clinic 233 East Superior Street Chicago, Illinois 60611 312-926-4343 FOR PHYSICIAN'S OFFICE USE ONLY Physician Procedure date FAX this completed form
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What is primary care physician yes?
A primary care physician is a healthcare provider who serves as the first point of contact for patients seeking medical care.
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Patients who have a primary care physician are required to provide that information when filling out medical forms or insurance paperwork.
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To fill out primary care physician information, simply provide the name and contact information of your primary care physician on the designated form.
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The purpose of listing a primary care physician is to ensure that healthcare providers have relevant medical history and information about a patient's ongoing care.
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The information to be reported typically includes the name, contact information, and specialty of the primary care physician.
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