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Haman Pediatric Center, P.C. 2800 Main Street West Bellville, GA 30078 (770)9792600 Fax (770)7360014 www.zamanpediatrics.comMEDICAL RECORDS AND HEALTH CARE INFORMATION RELEASE Authorization for Use/Disclosure
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To fill out the Zaman Pediatric Center PC form, follow these steps:
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Start by entering the patient's personal information, such as name, date of birth, and contact details.
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Provide the patient's insurance information, including the name of the insurance company, policy number, and group number.
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Zaman Pediatric Center PC is a pediatric healthcare facility dedicated to providing medical care to children.
The healthcare professionals and staff working at Zaman Pediatric Center PC are required to file necessary paperwork related to their practice.
To fill out Zaman Pediatric Center PC forms, the healthcare professionals need to provide accurate information about patients, treatments, and medical insurance.
The purpose of Zaman Pediatric Center PC is to ensure that children receive quality medical care and attention from trained professionals.
Information such as patient demographics, medical history, treatments provided, and insurance details must be reported on Zaman Pediatric Center PC forms.
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