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Pediatric Primary Care Burlington 1 South Prospect Street, 3rd Floor Burlington, VT 05401 Phone 8028474696 Fax 8028474612MRN Patient Name Date of BirthAuthorization to Disclose Protected Health Information
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Gather all necessary information, such as the child's medical history, insurance information, and contact details.
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Pediatric primary care in Burlington refers to medical care for infants, children, and adolescents provided by healthcare professionals in the Burlington area.
Healthcare providers who offer pediatric primary care services in Burlington are required to file pediatric primary care forms.
To fill out pediatric primary care forms, healthcare providers need to provide information about the medical services provided to infants, children, and adolescents.
The purpose of pediatric primary care in Burlington is to ensure that children receive appropriate medical care to support their growth and development.
Information such as patient demographics, medical services provided, and any additional notes relevant to pediatric primary care must be reported on the form.
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