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CENTER HEALTH SYSTEM Wellness 8157594342 FAX: 815.206.2830 Center Health System Huntley High School, District 158 Concussion Baseline Screenings Dates: Legal Name First: MI: Last: Address City/Zip

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1. Gather all necessary information: Before filling out the form for Centegra Health System at 815-759-4342, make sure you have all the required details readily available. This may include personal information, medical history, insurance details, and any other relevant documents.
2. Review the form: Take the time to carefully read through the form provided by Centegra Health System. Understand the sections, questions, and any instructions or guidelines mentioned. This will help you provide accurate and complete information.
3. Start with personal information: Begin by filling out the personal information section, which will typically require your full name, address, phone number, and date of birth. Ensure that these details are entered correctly, as any mistakes may lead to errors in your medical records or difficulty in communication.
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5. Insurance details: If applicable, there will be a section on the form to input your insurance information. This may include the name of your insurance provider, policy number, group number, and any other relevant details. Double-check this section to ensure that you have entered the correct information to avoid any billing or insurance coverage issues.
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1. Individuals seeking medical care in the McHenry County area: Centegra Health System at 815-759-4342 is a healthcare provider located in the McHenry County region. Anyone residing in this area and in need of medical services can benefit from contacting them.
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Note: The phone number provided, 815-759-4342, is fictional and intended for demonstration purposes only. Please use the appropriate contact information when attempting to reach Centegra Health System.

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