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Sunshine Pulmonary and Sleep Medicine, P.A. Rakesh Shah, MD, FCC Div yang Croatia, MD, FCC 500 Hindenburg Drive, Suite 201E Brandon, FL 33511 P: 8136551100 F: 8136551140 PATIENT DEMOGRAPHICS Name:
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01
Read the patient questionnaire carefully to understand the information it requires.
02
Start by filling in your personal details such as your name, date of birth, address, and contact information.
03
Answer all the questions accurately and honestly. Provide clear and concise information.
04
If you are unsure about any question, consult your healthcare provider for guidance.
05
Double-check your responses to ensure accuracy before submitting the questionnaire.
06
If there are any additional instructions or sections provided, make sure to address them accordingly.
07
Submit the completed patient questionnaire to the designated healthcare provider or facility.

Who needs patient questionnaire - sunshine?

01
Patients who are scheduled for a medical appointment or procedure at sunshine healthcare facility.
02
New patients who are registering with sunshine healthcare facility.
03
Patients who need to provide their medical history and current health information.
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Patients seeking specialized healthcare services at sunshine healthcare facility.
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Patient questionnaire - sunshine is a form that collects information about payments or other transfers of value made by applicable manufacturers and group purchasing organizations to physicians and teaching hospitals.
Applicable manufacturers and group purchasing organizations are required to file patient questionnaire - sunshine.
Patient questionnaire - Sunshine can be filled out online on the designated reporting website by providing accurate and detailed information about the payments or transfers of value.
The purpose of patient questionnaire - sunshine is to increase transparency and provide information to the public about financial relationships between healthcare providers and industry.
Information such as the recipient's name, amount of payment, payment date, and nature of payment must be reported on patient questionnaire - sunshine.
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