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DIGESTIVE DISEASE ASSOCIATES PATIENT DEMOGRAPHICS AND INSURANCE FORM Treating doctor (please check) Abernathy Alex Anderson Bandura Cross Harris Joy P Kim Saracen Rajendra Salas Saldana Solomon Tavassolie

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4. Gather all necessary information and documents that are required to complete the form accurately. This may include personal identification details, financial records, or any other relevant information.
5. Begin filling out the form by entering your personal information in the designated fields. This may include your name, address, contact details, and any other requested identification information.
6. Pay attention to any specific instructions provided for each section of the form. Some sections may require additional details or supporting documentation.
7. Double-check all the information you have entered to ensure accuracy. Make sure all required fields are filled out and all necessary documents are attached.
8. If applicable, review any declaration statements or signatures that may be required. Sign and date the form as instructed.
9. Once you have completed filling out the form, review it once again to ensure everything is accurate and complete.
10. Submit the filled-out ddamd form as per the instructions provided. This may involve submitting it online, mailing it to an address, or personally delivering it to the required office.
11. Keep a copy of the filled-out form for your records, along with any supporting documentation.

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