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Rock castle Pediatrics & Adolescents Stimulant (ADHD Medication) Agreement and Consent Form Date: Patient Name: Patient DOB: Patient SS# or KY Drivers LIC#: To the Parent or Patient: In accordance
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Rockcastle Pediatrics & Adolescents is a medical practice specializing in pediatric and adolescent healthcare.
Rockcastle Pediatrics & Adolescents is required to file by healthcare professionals working in the practice.
Rockcastle Pediatrics & Adolescents can be filled out by providing all required patient information, billing details, and medical services provided.
The purpose of Rockcastle Pediatrics & Adolescents is to maintain patient records, process billing, and provide quality healthcare services to pediatric and adolescent patients.
Information such as patient demographics, medical history, diagnosis, treatment provided, and insurance details must be reported on Rockcastle Pediatrics & Adolescents.
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