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Sushant Viswanathan, MD, ABM, ABIDE 21900 Burbank Blvd. #300 Woodland Hills, CA 91367 1888250CCIM 18442337639 ether ccimhealth.com ccimhealth. Compartment Information NameDOBAddressGenderHome phone
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Fill out your personal information such as name, date of birth, address, and contact details in the appropriate fields.
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ccim-la patient intake formdocx is required by individuals who are seeking medical treatment or consultation from ccim-la. It helps healthcare providers to gather necessary information about the patient's medical history, current health condition, and other relevant details to ensure appropriate and personalized care.
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The ccim-la patient intake formdocx is a document used for gathering relevant information about a patient's medical history, current conditions, and other healthcare-related details.
Healthcare providers, doctors, and medical facilities are required to collect and file the ccim-la patient intake formdocx for each patient.
The ccim-la patient intake formdocx can be filled out by providing accurate information in the specified fields regarding the patient's personal details, medical history, allergies, and current medications.
The purpose of ccim-la patient intake formdocx is to ensure that healthcare providers have all the necessary information to provide appropriate and quality care to the patient.
Information such as the patient's name, date of birth, contact information, medical history, current conditions, allergies, and medications must be reported on the ccim-la patient intake formdocx.
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