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Stained Health Group Stained Health Center, Barges Way, Knowles Green, Stained, Middy. TW18 1XD New Patient Questionnaire (Adult 16+)Please complete ALL sections IN FULL and return to the Health Center
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To fill out Staines Health Centre Burgesses form, follow these steps:
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Start by downloading the form from the official website of Staines Health Centre.
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Carefully read the instructions and requirements mentioned in the form.
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Fill in your personal details accurately, including your full name, date of birth, and contact information.
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Provide information about your medical history, previous treatments, allergies, and medication if applicable.
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Fill in any additional sections or questions that pertain to your specific condition or reason for visiting the health centre.
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Double-check all the filled information and make sure it is correct and complete.
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Sign and date the form at the designated space.
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Submit the filled form either in person at the Staines Health Centre or by following the specific submission instructions provided.
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Note: It is recommended to consult with the health centre staff or call their helpline if you have any doubts or need assistance while filling out the form.

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Staines Health Centre Burges is a medical facility that provides healthcare services to the community.
Healthcare professionals working at Staines Health Centre Burges are required to file necessary documentation regarding patient care and services provided.
To fill out Staines Health Centre Burges documents, healthcare professionals need to accurately report patient information, diagnosis, treatment provided, and other relevant details.
The purpose of Staines Health Centre Burges is to ensure proper documentation and reporting of patient care for continuity of care and accountability.
Information such as patient demographics, medical history, current diagnosis, treatment plan, medication prescribed, and follow-up care must be reported on Staines Health Centre Burges.
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