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Lake Ray Hubbard Pediatrics 757 E. US Hwy 80 Suite 200 Forney TX 75126 Phone 972-646-3346 Fax 972-564-2079 www. HIV/AIDS I consent to the release of any positive or negative test results for AIDS or HIV infection antibodies to AIDS or infection with any other causative agent of AIDS with the rest of my medical records. Lrhpediatrics. com Patient Name D. O. B Dear Dr/Facility Address Phone Fax Please release the following information Immunizations Growth Chart Problem List Labs Other Records...
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What is lake ray hubbard pediatrics?
Lake Ray Hubbard Pediatrics is a pediatric medical practice located by Lake Ray Hubbard that provides healthcare services for children.
Who is required to file lake ray hubbard pediatrics?
Parents or guardians of children who are patients at Lake Ray Hubbard Pediatrics are required to fill out necessary forms and medical information.
How to fill out lake ray hubbard pediatrics?
Fill out the forms provided by Lake Ray Hubbard Pediatrics with accurate medical information about the child.
What is the purpose of lake ray hubbard pediatrics?
The purpose of Lake Ray Hubbard Pediatrics is to provide medical care and services for children to ensure their health and well-being.
What information must be reported on lake ray hubbard pediatrics?
Personal information about the child, medical history, current health status, and any relevant medical conditions or allergies.
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