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PHYSICIANS PROMPT CARE CENTERS, LLC PATIENT REGISTRATION FORM PATIENT INFORMATION Name (Last) (First) (MI) Address City State ZIP Home# () Cell# () Email Birth Date / / Age Sex: M F Social Security
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Physicians prompt care centers are medical facilities that provide immediate healthcare services for non-life-threatening conditions.
Physicians prompt care centers are required to be filed by healthcare professionals who operate or manage these facilities.
Physicians prompt care centers can be filled out by providing information about the facility's location, services offered, healthcare providers, and patient volume.
The purpose of physicians prompt care centers is to provide timely and convenient medical care for minor illnesses and injuries.
Information that must be reported on physicians prompt care centers includes patient demographics, services provided, and any incidents or complaints.
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