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Patient Registration Form Rev. (02/14)Baton Rouge General Physicians Patient #Patient Referred by: Primary Care Physician: Last NameFirst NameMiddle InitialSocial Security Numerate of Birth / / Marital
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How to fill out baton rouge general physicians
How to fill out baton rouge general physicians
01
Visit the Baton Rouge General Physicians website.
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Click on the 'Patient Forms' or 'Patient Resources' section.
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Download the 'Baton Rouge General Physicians Registration Form'.
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Open the form using a PDF reader.
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Fill out the required personal information such as name, address, phone number, and date of birth.
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Provide your insurance information if applicable.
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Indicate your primary care physician's name if applicable.
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Specify any existing medical conditions or allergies, if necessary.
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Sign and date the form.
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Submit the completed form to the Baton Rouge General Physicians office via mail, fax, or in person.
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Baton Rouge General Physicians is a network of healthcare providers associated with Baton Rouge General Medical Center.
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Healthcare providers affiliated with Baton Rouge General Medical Center are required to file Baton Rouge General Physicians.
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The purpose of Baton Rouge General Physicians is to maintain accurate records of patient care and billing information.
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