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CARDIAC ASSOCIATESDATE: ACCT. #: *NEW PATIENT VENOUS HEALTH HISTORY FORM×Patient Name: D.O.B. Age: COMPLAINT: (check all applicable) VARICOSE VEINS BLEEDING ULCERATIONS SPIDER VEINS RESTLESS LEG
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Cardiac Associates PC is a medical practice specializing in cardiology.
The owners or shareholders of Cardiac Associates PC are required to file the necessary paperwork.
To fill out Cardiac Associates PC paperwork, individuals must provide detailed information about the organization's financials, operations, and ownership structure.
The purpose of Cardiac Associates PC is to provide cardiology services to patients in need of cardiovascular care.
Information such as financial statements, organizational structure, and ownership details must be reported on Cardiac Associates PC paperwork.
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