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MILFORD REGIONAL MEDICAL CENTER FINANCIAL ASSISTANCE APPLICATION AND INSTRUCTIONS Please print out and complete all sections of the application that apply to you. Please read all instructions before
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01
Collect all the necessary documents such as identification card, insurance information, and medical history.
02
Arrive at Milford Regional Medical Center and proceed to the information desk.
03
Request a registration form from the staff at the information desk.
04
Fill out the registration form accurately and provide all the required information.
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Submit the completed registration form along with the necessary documents to the registration staff.
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Wait for the staff to verify the information and process your registration.
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Once your registration is complete, you will be provided with a patient ID or number.
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Keep the patient ID or number handy for any future appointments or visits to the medical center.

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Milford Regional Medical Center is a non-profit hospital located in Milford, Massachusetts.
Milford Regional Medical Center is required to file annual reports with the appropriate regulatory agencies and accrediting bodies.
To fill out the annual report for Milford Regional Medical Center, detailed information about the hospital's operations, finances, and patient care must be provided.
The purpose of Milford Regional Medical Center is to provide quality healthcare services to the community.
Information such as patient demographics, medical procedures performed, financial data, and quality of care measures must be reported on Milford Regional Medical Center.
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