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Columbus Urgent Care, L.L.C. MEDICARE PRIMARY OR SECONDARY Today's Date: PLEASE DO NOT ABBREVIATE ANY INFORMATION Patient Information DOB / / Sex: M F First Name: MI: Last Name: Marital Status: S
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Columbus urgent care l is a non-emergency medical facility that provides immediate care for minor injuries and illnesses.
Any medical provider or facility operating under the columbus urgent care l designation is required to file.
To fill out columbus urgent care l, providers must include information about the patient, services provided, and any medications prescribed.
The purpose of columbus urgent care l is to provide efficient and timely medical care for non-life-threatening conditions.
Information such as patient demographics, reason for visit, treatment provided, and follow-up instructions must be reported on columbus urgent care l.
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