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COLORADO INSTITUTE FOR NEUROMUSCULAR AND NEUROLOGICAL DISORDERS Addendum to Patient Information Formations name (LAST) (FIRST) (M.I.) FIND policy regarding phone calls Charges may be applied for telephone
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How to fill out addendum to patient information
How to fill out addendum to patient information
01
To fill out an addendum to patient information, follow these steps:
1. Obtain the addendum form from your healthcare provider or hospital.
02
Fill in your personal information, such as your full name, date of birth, and contact details.
03
Clearly state the reason for the addendum and provide any relevant background information.
04
Use clear and concise language to describe the changes or updates you wish to make to your original patient information.
05
Sign and date the addendum to confirm its accuracy and authorization.
06
Submit the completed addendum to the appropriate healthcare provider or hospital.
Who needs addendum to patient information?
01
Anyone who needs to make changes or updates to their existing patient information should fill out an addendum. This includes patients who have experienced a change in medical history, address, contact information, or any other relevant details that need to be updated in their medical records.
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