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MODESTO PEDIATRICS (2017) 3109 Coffee Road, Suite A Modesto, CA 95355 Phone (209) 5220001 Fax (209) 5497077 PRIMARY PHYSICIAN: (Circle One)Dena Lesser, M.D. Ann Marie Russell, M.D.PATIENT INFORMATION:
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How to fill out primary physician circle one
How to fill out primary physician circle one
01
To fill out the primary physician circle, follow these steps:
02
Take a pen and locate the section for primary physician information.
03
Write the name of your primary physician in the designated space.
04
If you do not have a primary physician, leave the circle blank.
05
If you have multiple primary physicians, choose one and write their name in the circle.
06
Make sure your handwriting is clear and legible.
07
Review the form to ensure all required information is filled out properly.
08
Once you are satisfied, submit the form.
09
Please note that the specific instructions may vary depending on the form or document you are filling out.
Who needs primary physician circle one?
01
Anyone who is seeking medical care and already has an established relationship with a primary physician needs to circle one. This is especially important for individuals who have health insurance plans that require them to have a primary care provider.
02
If you do not have a primary physician or if you are unsure about whether or not you need one, it is recommended to consult with a healthcare professional or your insurance provider for guidance.
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What is primary physician circle one?
Primary physician circle one is a section on a healthcare form where the individual indicates their primary care physician.
Who is required to file primary physician circle one?
Individuals who are filling out the healthcare form are required to fill out the primary physician circle one.
How to fill out primary physician circle one?
To fill out primary physician circle one, the individual must write the name of their primary care physician in the designated space on the form.
What is the purpose of primary physician circle one?
The purpose of primary physician circle one is to provide healthcare providers with information about the individual's primary care physician.
What information must be reported on primary physician circle one?
The primary physician circle one typically requires the individual to report the name and contact information of their primary care physician.
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