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Our Medical Home CommitmentWelcome, and thank you for choosing Children's Primary Care Medical Group (CPC MG). We are committed to providing you with the best medical care based on your health needs.
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How to fill out our medical home commitment

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Step 1: Start by gathering all necessary information
02
Step 2: Go to our website and locate the 'Medical Home Commitment' form
03
Step 3: Carefully read the instructions provided on the form
04
Step 4: Fill out your personal information such as name, address, and contact details
05
Step 5: Provide details of your primary healthcare provider
06
Step 6: Answer all the required questions and provide any additional information if needed
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Step 7: Review the filled form for any errors or missing information
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Step 8: Sign the form to confirm your commitment to our medical home
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Step 9: Submit the form either online or by mail as indicated on the form
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Step 10: Keep a copy of the filled form for your records

Who needs our medical home commitment?

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Our medical home commitment is needed by individuals who are seeking to establish a long-term, continuous relationship with a primary healthcare provider
02
It is beneficial for patients who wish to receive coordinated and comprehensive care from a trusted medical home
03
Whether you are a new patient seeking primary care or an existing patient wishing to formalize your commitment, this form is essential
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Our medical home commitment is a pledge to provide comprehensive and patient-centered care to our patients.
All healthcare providers and facilities who are part of the medical home program are required to file our medical home commitment.
Our medical home commitment can be filled out online through the designated portal provided by the healthcare organization.
The purpose of our medical home commitment is to ensure that patients receive coordinated and high-quality care from their healthcare providers.
The medical home commitment form typically requires information on the healthcare provider's contact details, patient population served, and services provided.
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