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Get the free FOR PRIMARY CARE PHYSICIAN CHANGE ONLY, PLEASE CONTACT YOUR HEALTH PLAN DIRECTLY

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Medical / Dental / Life / Vision Enrollment Application721 South Parker, Suite 200, Orange, CA 92868 (800) 5588003 www.calchoice.comCOMPLETE WAIVER SECTION ON PAGE 4 IF YOU OR ANY OF YOUR DEPENDENTS
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Collect all necessary personal information such as name, address, contact number, and date of birth.
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Arrive at the primary care physician's office on time.
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Anyone who wants to establish a long-term relationship with a primary healthcare provider.
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Primary care physicians are healthcare providers who serve as the first point of contact for patients seeking medical care.
Patients or their legal guardians are typically required to designate a primary care physician.
To fill out information for a primary care physician, patients or their legal guardians can typically do so through their healthcare provider or insurance provider.
The purpose of designating a primary care physician is to facilitate continuity of care, manage overall health, and coordinate referrals to specialists if needed.
Information reported for a primary care physician may include contact information, medical history, and any relevant health insurance details.
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