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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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Firstly, locate the designated space on the form where you are required to provide the place of procedure information.
02
Next, carefully enter the name or location of the facility or establishment where the procedure took place. This could be a hospital, clinic, doctor's office, or any other relevant place.
03
Ensure that you accurately spell the name of the place and provide complete information, including any necessary details such as department or unit within the facility.
04
Double-check your entry to avoid any errors or typos that could potentially cause confusion or delays in processing the form.

Who needs place of procedure:

01
Patients: Individuals who have undergone a medical or surgical procedure need to provide the place of procedure as part of their medical records and insurance claims. This information helps in documenting the history and tracking the healthcare services received.
02
Insurance Companies: Insurance companies require the place of procedure to assess the validity of claims and determine the coverage and reimbursement for the medical services provided.
03
Healthcare Providers: Medical professionals and healthcare facilities need the place of procedure to accurately document and track the services rendered. This information assists in maintaining complete and accurate patient records, coordinating follow-up care, and facilitating communication with other healthcare providers involved in the patient's treatment.
Note: The specific requirements for providing the place of procedure may vary depending on the purpose and context of the form or document you are filling out. Always refer to the instructions or guidelines provided with the form for precise details on how to fill out the place of procedure.
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Place of procedure refers to the location where a procedure or legal action will take place.
The party initiating the legal action or procedure is usually required to file the place of procedure.
Place of procedure can usually be filled out on the legal documents or forms related to the specific legal action or procedure.
The purpose of indicating the place of procedure is to establish the jurisdiction where the legal action will be conducted.
The information required on the place of procedure includes the specific court or venue where the legal action will be heard.
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