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YUMA UNIFIED MEDICAL ASSOCIATES YUMA IPA Board of Directors Emily Mates MD, President Ismael Guerrero MD Mitch Freeman, MD Stan Cohen MD, Vice President Robert Smythe, MD Nation N. Chulamorkodt, MD
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Start by gathering all the necessary personal information such as your full name, date of birth, address, and contact details.
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Ensure you have the required documentation, such as a valid photo ID, insurance card, and any medical records or referral letters if applicable.
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Begin the form by providing your primary reason for seeking medical assistance at Yuma Unified Medical Associates. Be specific and include any symptoms or concerns you may have.
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Move on to filling out the sections related to your medical history. Provide information about any previous medical conditions, surgeries, allergies, and medications you are currently taking.
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If you are currently insured, enter your insurance details accurately. Include your insurance provider's name, policy number, and any other information requested.
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Proceed to fill out the section related to emergency contacts. Provide the names, phone numbers, and relationships of the individuals that should be contacted in case of an emergency.
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Sign and date the document to confirm that all the information provided is accurate and complete. Review the form once again before submitting it.

Who needs Yuma Unified Medical Associates?

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Individuals who are seeking comprehensive medical care in the Yuma area.
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Patients who require primary care services, including preventive care, vaccinations, and routine check-ups.
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Individuals with acute or chronic medical conditions who need ongoing medical management and specialized treatment.
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Patients who are in need of specialized medical care, such as cardiology, dermatology, OBGYN services, or pediatrics.
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Individuals who value a patient-centered approach to healthcare and seek a provider that prioritizes communication, compassion, and personalized treatment plans.
Note: It is important to consult Yuma Unified Medical Associates' official website or contact their office directly for specific instructions on filling out their forms or to determine if their services meet your specific healthcare needs.
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Yuma Unified Medical Associates is a healthcare organization that provides medical services in the Yuma area.
Healthcare providers and organizations operating in the Yuma area are required to file Yuma Unified Medical Associates.
Yuma Unified Medical Associates can be filled out online or through paper forms provided by the organization.
The purpose of Yuma Unified Medical Associates is to collect important medical data and information for analysis and reporting purposes.
Yuma Unified Medical Associates must report patient demographics, medical services provided, and billing information.
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