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Cottage Grove Cardiology, PC711 Cottage Grove Road Bloomfield, CT 06002Phone 860 242 8756 fax# 860 882 0270Patient Name: DOB: Weight: Height: Patient Phone #: Routine: Urgent: Other: Is patient prop?
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01
To fill out the Cottage Grove Cardiology PC form, follow these steps:
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- Begin by obtaining the form from the reception desk or online.
03
- Fill in your personal details accurately, including your full name, address, and contact information.
04
- Provide your medical history, including any previous diagnoses, surgeries, medications, and allergies.
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- Write down any current symptoms or issues you are experiencing.
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- Include information about your insurance provider and policy number.
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- Provide emergency contact details.
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- Sign and date the form to validate your submission.
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- Double-check all the information for accuracy before submitting the form.
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If you have any questions or need assistance, feel free to reach out to Cottage Grove Cardiology PC.

Who needs cottage grove cardiology pc?

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Cottage Grove Cardiology PC is recommended for individuals who require cardiology services. This includes individuals experiencing cardiovascular issues, heart disease, high blood pressure, irregular heart rhythms, chest pain, or those in need of preventive cardiology care. It is also suitable for individuals with a family history of heart disease or those seeking specialized cardiac evaluations, testing, and treatments.

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Cottage Grove Cardiology PC is a medical practice specializing in cardiology services.
The owners or administrators of Cottage Grove Cardiology PC are required to file the necessary documents.
To fill out Cottage Grove Cardiology PC forms, you must provide accurate information about the practice's finances and operations.
The purpose of Cottage Grove Cardiology PC is to provide cardiology services to patients in the local community.
Information such as revenue, expenses, patient demographics, and services provided must be reported on Cottage Grove Cardiology PC forms.
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