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Concierge Family Medicine New Patient History Worksheet Patient Name: Date: Do we have your CURRENT address and phone number? List ALL medicines you are currently taking (include doses):Are you allergic

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What is concierge family medicine?

Concierge family medicine is a membership-based approach to primary care where patients pay a retainer fee for enhanced services and personalized care.

Who is required to file concierge family medicine?

Physicians or healthcare providers who offer concierge family medicine services are required to file.

How to fill out concierge family medicine?

To fill out concierge family medicine, providers need to include detailed information about the services offered, fees charged, and patient benefits.

What is the purpose of concierge family medicine?

The purpose of concierge family medicine is to provide comprehensive, personalized care to patients with a focus on preventive health and wellness.

What information must be reported on concierge family medicine?

Information such as the services offered, patient benefits, fees charged, and any changes in the membership structure must be reported on concierge family medicine.

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