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Patient Health Questionnaire ALL FIELDS MUST BE COMPLETED NEW PATIENT HISTORY FORM Date of Visit: Name:Date of Birth: Male Female Right handed LefthandedPrimary Care Doctor (Name, Address, Phone #):
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Neurology associates - new is a form that must be filed by neurologists or medical practices specializing in neurology.
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The purpose of neurology associates - new is to report financial and operational information related to neurology practices.
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