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Lake Ray Hubbard Pediatrics 6435 S. FM 549 Suite 201 Heath TX 75032 Fax 972-412-3695 Phone 972-412-3034 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 of...
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Lake Ray Hubbard Pediatrics is a pediatric medical practice located near Lake Ray Hubbard in Texas, offering healthcare services for children.
Parents or legal guardians of children who are patients at Lake Ray Hubbard Pediatrics are required to provide and fill out necessary forms.
To fill out Lake Ray Hubbard Pediatrics forms, parents or legal guardians must provide accurate information about their child's medical history, insurance information, and contact details.
The purpose of Lake Ray Hubbard Pediatrics is to provide medical care and treatment for children, including preventative care, vaccinations, and treatment of illnesses.
Information such as child's medical history, current health status, insurance information, emergency contact details, and any known allergies or medical conditions must be reported on Lake Ray Hubbard Pediatrics forms.
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