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ORGAN Group of Eastern Connecticut, P.C. PATIENT INFORMATION FORM (Please print legibly and complete all sections) PATIENT INFORMATION Last Name First Name Former /Maiden Name Street Address: City:
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Step 1: Gather all necessary personal information
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Step 2: Schedule an appointment with OB/GYN Group of Eastern
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Step 3: Arrive at the clinic on the scheduled date and time
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Step 4: Complete the registration process at the front desk
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Step 5: Fill out the patient intake forms provided by the staff
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Step 6: Provide accurate medical history and answer all relevant questions
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Step 7: Complete any additional paperwork or consent forms required
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Step 8: Wait for your turn to see the OB/GYN specialist
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Step 9: Follow the instructions and recommendations given by the healthcare provider
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Step 10: Make any necessary follow-up appointments or tests as advised

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The OB/GYN Group of Eastern is a medical practice specializing in obstetrics and gynecology.
All healthcare providers associated with the OB/GYN Group of Eastern are required to file relevant documentation.
To fill out the OB/GYN Group of Eastern documentation, healthcare providers must provide accurate and timely information regarding their practice.
The purpose of the OB/GYN Group of Eastern documentation is to track and monitor the medical activities of the practice for regulatory purposes.
Information that must be reported on the OB/GYN Group of Eastern includes patient demographics, medical procedures performed, and outcomes.
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