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PALMETTO CARDIOLOGY OF YORK CO. HARRY E. HICKMAN III MD 430 S BELONG AVE, STE 104 ROCK HILL, SC 29732 Authorization to release/receive medical records (Patient Name) (Date of Birth) (Address) (Phone)
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How to fill out Palmetto Cardiology of York:

01
Start by providing personal information: Fill in your full name, date of birth, gender, and contact information such as phone number and email address.
02
Next, provide your medical history: Indicate any pre-existing medical conditions or previous surgeries that may be relevant to your cardiology treatment. Include details of any medications you are currently taking.
03
Specify your primary care physician: Provide the name and contact information of your primary doctor, who will be coordinating your care with Palmetto Cardiology of York.
04
Insurance information: Provide your insurance details, including the name of your insurance company, policy number, and any associated group or provider numbers. This information is crucial for billing and ensuring smooth communication with your insurance provider.
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Emergency contact: Provide the name and contact information of a person who should be contacted in case of an emergency.

Who needs Palmetto Cardiology of York:

01
Individuals with cardiovascular conditions: Palmetto Cardiology of York specializes in the diagnosis and treatment of heart-related issues. If you have been experiencing symptoms such as chest pain, shortness of breath, irregular heart rhythms, or high blood pressure, you may need their services.
02
People at risk for cardiovascular diseases: Even if you don't currently have any heart-related symptoms, but have risk factors like a family history of heart disease, obesity, smoking, high cholesterol, or diabetes, it is advisable to seek the expertise of Palmetto Cardiology of York for preventive care and early detection.
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Patients requiring specialized cardiology care: Palmetto Cardiology of York offers a range of specialized services, including cardiac imaging, diagnostic tests, and interventional procedures. If you have been referred by your primary care physician for further evaluation or treatment, Palmetto Cardiology of York can provide the necessary expertise.
Note: It is essential to consult with your primary care physician or seek a referral before making an appointment with Palmetto Cardiology of York to ensure appropriate care coordination.
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Palmetto Cardiology of York is a cardiology practice located in York, South Carolina.
Healthcare providers who are part of Palmetto Cardiology of York are required to file necessary reports and documentation.
To fill out Palmetto Cardiology of York reports, healthcare providers must include relevant patient information, medical history, diagnosis, and treatment plans.
The purpose of Palmetto Cardiology of York is to provide quality cardiology care and treatment to patients in the York area.
Information such as patient demographics, medical history, diagnosis, procedures, and treatment plans must be reported on Palmetto Cardiology of York reports.
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