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La Pine Community Health Center 51600 Huntington Road PO BOX 3300La Pine, Oregon 97739 5415363435 and 5415368047 (fax) Special Information Permission Request A. Phone Messages Regarding Appointment
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Visit the La Pine Community Health website or locate a physical copy of the form.
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Read all instructions carefully to ensure you understand the requirements and provide accurate information.
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Start by providing your personal information, such as your full name, date of birth, and contact details.
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Fill out the sections related to your medical history, including any chronic conditions, surgeries, or medications you may be taking.
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Who needs La Pine Community Health:

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Individuals who reside in or near the La Pine community.
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La Pine Community Health is a community health center providing primary care services to residents of La Pine and surrounding areas.
All healthcare facilities are required to file La Pine Community Health reports.
La Pine Community Health forms can be filled out online or submitted in person at the health center.
The purpose of La Pine Community Health is to gather data on the health needs of the community and provide appropriate services.
Information such as patient demographics, services provided, and health outcomes must be reported on La Pine Community Health forms.
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