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MERCY — IOWA CITY HEALTH CAREER SCHOLARSHIP APPLICATION Dear Scholarship Applicant: Thank you for your interest in the Health Career Scholarship
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How to fill out Mercy - Iowa City:

01
Download the application form from Mercy - Iowa City's website or request a physical copy from their office.
02
Fill in your personal information accurately, including your name, address, phone number, and email.
03
Provide your insurance information, if applicable, including the name of your insurance provider and your policy number.
04
Indicate the reason for seeking medical care at Mercy - Iowa City by briefly explaining your symptoms or medical condition.
05
Fill out the section related to your medical history, including any previous treatments, surgeries, or allergies you may have.
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Include a complete list of current medications you are taking, including their dosage and frequency.
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If necessary, provide contact information for your primary care physician or any other healthcare providers involved in your care.
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Double-check all the information you have filled out to ensure accuracy and completeness.
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Sign and date the application form.
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Submit the completed application either through mail, fax, or in-person at Mercy - Iowa City's office.

Who needs Mercy - Iowa City:

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Individuals seeking quality healthcare services in Iowa City and the surrounding areas can benefit from Mercy - Iowa City.
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Mercy - Iowa City serves people of all ages, from newborns to the elderly, ensuring a continuum of care throughout the lifespan.
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Both individuals with health insurance coverage and those without insurance can access healthcare services at Mercy - Iowa City, as they offer various payment options and assistance programs.
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Mercy - Iowa City is a hospital located in Iowa City, Iowa.
Patients who have received medical services at Mercy - Iowa City are required to file.
Patients can fill out Mercy - Iowa City forms online or in person at the hospital.
The purpose of Mercy - Iowa City is to ensure accurate reporting of medical services provided.
Patients are required to report details of the medical services received, including dates and procedures.
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