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PATIENT INFORMATION Doctor you are seeing today: Dr. David R. Gentile PATIENT NAME Appointment Date PLEASE CHECK Male Female MARITAL STATUS D M BIRTHDATE AGE ARE YOU: S W HEIGHT Right Left Handed
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What is doctor you are seeing?
The doctor I am seeing is Dr. Smith.
Who is required to file doctor you are seeing?
The patient is required to file information on the doctor they are seeing.
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You can fill out information on the doctor you are seeing by providing their name, specialty, contact information, and any other relevant details.
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The purpose of indicating the doctor you are seeing is to provide healthcare providers with important information for your treatment and care.
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Information such as the doctor's name, specialty, contact information, and any relevant medical history must be reported on the doctor you are seeing.
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