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Outpatient Care Upper Arlington Dental Clinic 1800 Zollinger Rd. Suite 1200 Columbus OH 43221 Phone 614-366-3400 Fax 614-366-8510 Email OSUDental-UA osu. Edu For Office Use Only EMR Patient Registration Please complete registration in its entirety. Have your insurance card s and driver s license available for scanning purposes. This would include mailing correspondence to the individual s office instead of the individual s home emailing correspondence via secure email server and/or the use of...

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What is ua-adult-packet?

ua-adult-packet is a set of documents that needs to be completed and filed by individuals over the age of 18.

Who is required to file ua-adult-packet?

Any individual over the age of 18 is required to file ua-adult-packet.

How to fill out ua-adult-packet?

ua-adult-packet can be filled out by providing personal information, income details, and any other required information on the provided forms.

What is the purpose of ua-adult-packet?

The purpose of ua-adult-packet is to collect information about individuals over the age of 18 for record-keeping and compliance purposes.

What information must be reported on ua-adult-packet?

Information such as personal details, income, expenses, assets, and liabilities may need to be reported on ua-adult-packet.

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