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EASTSIDE GYNECOLOGY OBSTETRICS, P.C.PLEASE PRINT Patient Centered Medical Home Information Filename: SSN: Birthdate: Maiden Name: Address: City: (Please circle preferred telephone number) Phone #:
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Start by gathering all your personal and medical information, including your identification documents, insurance details, and any previous medical records.
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Eastside Gynecology Obstetrics P is a medical practice specializing in gynecological and obstetrical care.
The healthcare providers working at Eastside Gynecology Obstetrics P are required to file relevant documents.
To fill out Eastside Gynecology Obstetrics P forms, healthcare providers need to provide accurate and up-to-date information about their patients and services.
The purpose of Eastside Gynecology Obstetrics P is to provide quality healthcare services to women, focusing on gynecological and obstetrical needs.
The information reported on Eastside Gynecology Obstetrics P forms may include patient demographics, medical history, procedures performed, and billing details.
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