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I also authorize Tidewater Orthopaedic Associates or insurance company to release any information required to process my claims. Home phone no. Cell phone no. E-Mail Address Pharmacy Name Pharmacy Location/Phone If Yes Attorney Name Attorney Phone Ethnicity Are you represented by an Attorney for this injury Race White African-American Hispanic Language Asian American Indian/Alaska Native English Hawaiian or Other Specific Islander Spanish Other Non-Hispanic Other Occupation Employer Employer...
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Tidewater Orthopaedic Associates is a medical practice specializing in orthopaedic care.
Healthcare providers and facilities who have treated patients with orthopaedic conditions are required to file Tidewater Orthopaedic Associates.
Tidewater Orthopaedic Associates can be filled out online or through paper forms provided by the governing body.
The purpose of Tidewater Orthopaedic Associates is to track and monitor orthopaedic care provided to patients.
Information such as patient demographics, diagnosis, treatment provided, and outcomes must be reported on Tidewater Orthopaedic Associates.
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