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Atkinson Family Practice Katherine J. Atkinson M. D. P. C. Jessica Jimison FNP Katelyn Dutkiewicz PA-C Charles M. Milch MHP MBA PA-C Miranda Tsoumas PA-C Nora Schwartz-Martin M. D. 17 Research Drive Amherst MA 01002 Phone 413 549-8400 Fax 413 549-8409 www. INDICATE THE AREAS YOU AUTHORIZE BY INITIALING EACH ONE BELOW. AUTHORIZATION IS NOT VALID UNLESS INITIALED HIV/AIDS Sexually Transmitted Disease Mental Health/Psychiatry Dependency This authorization EXPIRES ON or if unspecified one year...
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Start by providing your personal information such as your name, address, and contact details.
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Complete the medical history section by providing information about any pre-existing conditions, allergies, or medications you are currently taking.
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Fill out the insurance information if applicable, including your insurance company name, policy number, and primary care physician.
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Atkinson Family Practice is a medical clinic that provides healthcare services to individuals and families.
Providers who work at Atkinson Family Practice are required to file patient records and other relevant documentation.
To fill out Atkinson Family Practice, providers must document patient visits, treatments, prescriptions, and any other relevant information.
The purpose of Atkinson Family Practice is to provide quality healthcare services to patients in need of medical attention.
Information such as patient demographics, medical history, treatments provided, and follow-up care must be reported on Atkinson Family Practice.
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