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MICHAEL R. THOMPSON, DDS, PC 7102 EAST COMA DRIVE, SUITE 3 SCOTTSDALE, ARIZONA 85254 4805560310 Affidavit of Intolerance to CPAP PATIENT NAME: DATE CPAP WAS TRIED: I have attempted to use nasal CPAP
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How to fill out Michael R Thompson DDS:
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Start by gathering all the necessary personal information. This includes your full name, contact details, date of birth, and any relevant medical history.
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Next, fill out the appointment details. Include the date and time of your desired appointment, as well as any specific concerns or reasons for your visit. This will help Dr. Thompson understand your needs better.
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Move on to the insurance information section. Provide details regarding your dental insurance provider, policy number, and any other relevant information. This will ensure a smooth billing process and minimize out-of-pocket expenses.
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Fill out the medical history section thoroughly. Include any pre-existing conditions, allergies, medications, or surgeries. This information is crucial for Dr. Thompson to provide appropriate and safe dental treatment.
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Please note that the provided information is for illustrative purposes only. It's always advisable to consult with Dr. Thompson directly for accurate and personalized guidance.
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