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UW MEDICINE UW NEIGHBORHOOD CLINICSeCare (Chart) Now for iPhone and Android Chart is not available for Microsoft Windows forest use this application, you must first be a registered care (Chart) user.
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01
Open the UW Medicine UW Neighborhood website.
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Click on the 'Forms' section.
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Download the 'UW Medicine UW Neighborhood Form'.
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Open the downloaded form using a PDF reader.
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Fill in your personal information in the required fields, such as name, address, and contact information.
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Provide necessary medical history details, including allergies, previous illnesses, and current medications.
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Specify your preferred healthcare provider if applicable.
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Review the completed form for accuracy and completeness.
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Save a copy of the filled-out form for your records.
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Submit the form via email or in-person to the designated UW Medicine UW Neighborhood office.

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Individuals seeking comprehensive and accessible healthcare services.
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Residents living in the neighborhood of UW Medicine UW Neighborhood.
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Patients who prefer coordinated healthcare among multiple providers.
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People in need of primary care, specialty care, or urgent care services.
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UW Medicine UW Neighborhood Clinics provide primary care services.
Patients who receive care at UW Neighborhood Clinics are required to fill out UW Medicine UW Neighborhood forms.
Patients can fill out UW Medicine UW Neighborhood forms online or in person at the clinic.
The purpose of UW Medicine UW Neighborhood forms is to collect patient information and medical history.
Patients must report their personal information, medical history, and insurance details on UW Medicine UW Neighborhood forms.
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