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EVALUATION, TREATMENT PLAN & CERTIFICATION OUTPATIENT PHYSICAL / OCCUPATIONAL THERAPYPatient Name: McClure, MichaelReferring Physician: Dr. Larry Bowman Date: 09/26/2013 Medical Diagnosis: Status
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To fill out the patient name 'McClure Michael', follow these steps:
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Open the patient information form or electronic health record system.
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Anyone involved in the patient's medical care or administration, such as healthcare providers, nurses, medical coders, insurance companies, and medical billing departments, would require the patient name 'McClure Michael' and the name of the referring physician.

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Patient name is McClure Michael.
The referring physician is required to file patient name.
Patient name should be filled out with the first and last name of the individual, in this case, McClure Michael.
The purpose of patient name is to correctly identify the patient in the medical records.
The patient's full name, including first and last name, must be reported on patient name.
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