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Mr. Mrs. Miss Ms Master Dr Religious Title Other PLEASE PRINT CLEARLY First Name: Middle Name: Preferred Name: Surname: Date of Birth: / / Medicare Card Number: Sex: Male / Female / Transgender Reference
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The new Coorparoo clinic is a healthcare facility that offers medical services to the local community.
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The clinic administrators or owners are required to file the new Coorparoo clinic.
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To fill out the new Coorparoo clinic, the administrators need to provide details about the clinic's services, staff, operating hours, and contact information.
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The information that must be reported on the new Coorparoo clinic includes clinic name, address, services offered, staff details, operating hours, and contact information.
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