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Foos Osteoporosis Phlebitis Pulmonary Emboli/Blood clots Rheumatoid Arthritis Skin Rashes/Psoriasis Stroke Thyroid Disease Ulcers 04/27/14 PAST SURGICAL HISTORY Have you ever had surgery Please check and give the dates to all that apply. Appendix Bowel/Colon Breast Biopsy Gallbladder Gynecologic Heart Surgery Hernia Repair Tonsils Cosmetic Surgery ORTHOPEDIC please list type please list all Other MEDICATIONS Anti-Inflammatory Aspirin Birth Control Pills Please list any prescription...
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What is doctor you are seeing?
The doctor I am seeing is Dr. Smith.
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You can fill out the doctor you are seeing by providing the doctor's name, contact information, and the reason for the visit.
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The purpose of indicating the doctor you are seeing is to ensure proper medical records and communication between healthcare providers.
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You must report the doctor's name, specialty, contact information, and the date of the visit.
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