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Main Office: Rick A. Shacked Comprehensive Health Services 3543 N. 7th Street, Phoenix AZ 85014 Office: 602.492.9919 Mobile: 602.920.1023 RICK A SHACKED DO, MD(H) Name: DOB: Date: PLACE OF PROCEDURE
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How to fill out place of procedure:

01
Locate the designated section on the form where you need to provide the place of procedure.
02
Write down the specific location where the procedure is being conducted. This could be the name of a hospital, clinic, or any other medical facility.
03
If the procedure is taking place in a different city or country, make sure to include the city or country name as well.
04
Double-check the spelling and accuracy of the place of procedure before submitting the form.

Who needs place of procedure:

01
Patients filling out medical forms: When patients are required to fill out medical forms, they are often asked to provide the place of procedure. This information helps healthcare providers keep track of where the medical interventions are taking place.
02
Medical professionals: Doctors, nurses, or other healthcare professionals may request the place of procedure in order to better understand the context of a patient's medical history or treatment plan.
03
Insurance companies: Insurance companies often require the place of procedure to process claims accurately and determine coverage for healthcare services. By knowing where the procedure was performed, they can verify the validity of the claim and ensure appropriate reimbursement.
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Place of procedure is the location where a particular legal process or action must take place.
The party initiating the legal process or action is typically required to file the place of procedure.
Place of procedure is typically filled out on official legal forms provided by the court or relevant authority.
The purpose of place of procedure is to establish the jurisdiction and appropriate location for legal proceedings.
The information reported on place of procedure typically includes the specific address or location where the legal process must take place.
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