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Mountain View Pediatrics James T. Bell, M.D. James B. Gilbert, M.D. Christy Floyd, R.N., M.N., C.P.N.P. 2049 Beverly Road Gainesville, GA. 30501 (770) 287-1788 Mother s Name: Mother s Social Security:
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Start by entering your personal information such as your full name, date of birth, and contact details.
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The patient info sheet-gainesville1doc is a document used to collect important information about a patient's medical history, contact information, and insurance details.
Patients and/or their legal guardians are required to fill out and file the patient info sheet-gainesville1doc.
The patient info sheet-gainesville1doc can be filled out by providing accurate information in each section, including personal details, medical history, and insurance information.
The purpose of the patient info sheet-gainesville1doc is to ensure that healthcare providers have access to all necessary information about a patient to provide them with the best care possible.
The patient info sheet-gainesville1doc typically collects information such as name, date of birth, contact information, medical history, allergies, current medications, and insurance details.
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