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Patient Info OVER 18 Patient Name:Birthdate:Gender: MF Residential Address Street:City:State:Zip Code:Email Address: Phone: Cell: Work: Demographic Information: Ethnicity (circle one):Hispanic HispanicRefuse
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Patient info over 18 refers to the personal and medical information of individuals who are 18 years or older.
Healthcare providers, medical facilities, and insurance companies are required to file patient information for individuals over 18.
Patient info over 18 can be filled out electronically or on paper forms provided by healthcare providers or facilities.
The purpose of patient info over 18 is to maintain accurate medical records and ensure proper medical treatment for adult individuals.
Patient info over 18 must include personal details, medical history, current medications, allergies, and any existing medical conditions.
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