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Billington Family Medical Center PO Box 1687Lillington NC 27546 Phone (910) 8932641 Fax (910) 8933208Authorization for Release of Medical Information (Patients Name)(Birth Date)(Phone Number) (Address)
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How to fill out lillington family medical center

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Start by downloading the patient registration form from the official website of Lillington Family Medical Center.
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Fill out your personal information such as name, address, date of birth, and contact details.
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Provide your insurance information, including the name of your insurance company and policy number.
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If you are a new patient, fill out your medical history, including any current medications, allergies, and past surgeries.
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If you have any specific medical conditions or concerns, make sure to mention them in the appropriate section.
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Sign and date the form to certify that the information provided is true and accurate.
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If required, attach any supporting documents such as insurance cards or referrals.
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Submit the filled-out form either in person or by mail as per the instructions mentioned on the form.

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Lillington Family Medical Center is a medical facility that provides primary care services to families in the Lillington area.
The healthcare providers and staff working at Lillington Family Medical Center are required to file necessary medical records and reports.
The medical staff at Lillington Family Medical Center must accurately document patient information, treatment plans, and medical histories in the center's records.
The purpose of Lillington Family Medical Center is to provide high-quality medical care and maintain detailed medical records for patients in the area.
Information such as patient demographics, medical history, treatment plans, medications, and test results must be reported on Lillington Family Medical Center records.
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