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Adobe Family Practice, LLC2019 Galileo St, Suite J1//Santa Fe, NM, 87505 505.820.0446 Phone//505.820.6142 Fax adobefamilypractice.com PATIENT INFORMATION SHEET (Please Print Clearly)Patient Name:
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01
Open the Adobe Family Practice LLC form.
02
Start by filling out the personal information section, including your name, address, and contact details.
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Fill in the relevant medical history information, such as your past illnesses, surgeries, and medications.
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Provide the necessary health insurance details, including your policy number and provider information.
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Answer any specific questions or sections related to your current health condition or concerns.
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Review the completed form for accuracy and completeness.
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Sign and date the form at the designated space.
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Submit the filled-out Adobe Family Practice LLC form to the appropriate recipient or healthcare provider.

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Adobe Family Practice LLC is a limited liability company that provides medical services to patients in the Adobe area.
The owners or members of Adobe Family Practice LLC are required to file the necessary paperwork with the appropriate authorities.
To fill out Adobe Family Practice LLC paperwork, owners or members must provide information about the business, including financial details, ownership structure, and contact information.
The purpose of Adobe Family Practice LLC is to provide quality medical care to patients in the Adobe area while limiting the personal liability of the owners or members.
Information reported on Adobe Family Practice LLC may include financial statements, ownership details, operational plans, and any changes in business structure or ownership.
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