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DOCKET NO: BOARD MEETING: PROJECT NO: A-1 March 27-28, 2007 06-056 FACILITY NAME: CITY: Fresenius Medical Care of Plainfield PROJECT COST: Original: $2,361,000 Plainfield TYPE OF PROJECT: Non-Substantive
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01
Gather all necessary personal information, such as your full name, date of birth, address, and contact details.
02
Provide your health insurance information, including your policy number and any relevant plan details.
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Indicate the purpose of your visit or treatment, whether it's for regular dialysis, a medical procedure, or any other specific reason.
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Specify any known medical conditions, allergies, or medications you are currently taking.
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Fill out the emergency contact section, including the name, relationship, and contact number of someone who can be reached in case of an emergency.
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Who needs Fresenius Medical Care of:

01
Individuals who require dialysis treatment due to chronic kidney disease or other kidney-related conditions.
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Patients undergoing medical procedures or treatments that are provided by Fresenius Medical Care facilities.
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Individuals seeking information or access to the various healthcare services and resources offered by Fresenius Medical Care.
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Fresenius Medical Care is a company that provides dialysis services and products for patients with chronic kidney failure.
Healthcare providers and facilities that offer dialysis services are required to file Fresenius Medical Care forms.
Fresenius Medical Care forms can be filled out electronically or manually, following the instructions provided by the company.
The purpose of Fresenius Medical Care forms is to report important information about dialysis services provided to patients.
Information such as patient demographics, treatment details, medications administered, and outcomes of dialysis sessions must be reported on Fresenius Medical Care forms.
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