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Thomas Dermatology 9097 W Post Rd, Suite 100, Las Vegas NV 89148 PH: 7024305333 Fax: 7024305335 www.thomasderm.com PATIENT INFORMATION PATIENT NAME: DOB: AGE: HOME ADDRESS: HOME PHONE # M / F MARITAL
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How to fill out if patient is a

01
To fill out if patient is a, start by gathering the necessary information about the patient. This may include their name, date of birth, contact information, and any relevant medical history.
02
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In the section or field that asks for the patient's status, mark or select the appropriate option that indicates whether the patient is a. It is important to read the instructions carefully to ensure accuracy.
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If the form or document provides multiple options for patient status, choose the option that best applies to the patient in question. This could include options such as "a minor," "an adult," "an employee," or other relevant categories.
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Overall, anyone involved in the administration, management, or care of patients may need to know if a patient is a for various reasons specific to their respective roles and responsibilities.
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