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PACIFIC GROVE UNIFIED SCHOOL DISTRICT PERSONNEL OFFICEE1PERSONAL PHYSICIAN DESIGNATION FORMEMPLOYEE POSITION PHYSICIANS NAME PHYSICIANS PHONE NUMBER ********************************************************************************************I

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What is personal physician designation form?

The personal physician designation form is a document used to designate a specific physician to provide care in case of an emergency or incapacity.

Who is required to file personal physician designation form?

Anyone who wants to designate a specific physician to provide care in case of an emergency or incapacity is required to file the personal physician designation form.

How to fill out personal physician designation form?

To fill out the personal physician designation form, you need to provide your personal information, contact details, and the information of the designated physician.

What is the purpose of personal physician designation form?

The purpose of the personal physician designation form is to ensure that in case of an emergency, the designated physician is authorized to provide care and make medical decisions on behalf of the individual.

What information must be reported on personal physician designation form?

The personal physician designation form must include the individual's personal information, contact details, and the information of the designated physician, including their name, contact information, and medical credentials.

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