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Patient's full Name: Sex: DOB: Address: City: Zip: Mother's (Guardian) Full Name: DOB: Home#: Work#: Cell#: Email:Father's (Guardian) Full Name: DOB: Home#: Work#: Cell#: Email:Emergency Contact:

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How to fill out email - imagine pediatric

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Step 1: Open your email provider's website or app.

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Step 2: Click on the 'Compose' or 'New Email' button.

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Step 3: Enter the email address of the recipient in the 'To' field. In this case, it would be the email address of the pediatric department.

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Step 4: Add a subject line that clearly states the purpose of the email, such as 'Inquiry regarding pediatric services'.

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Step 5: Write the email body, addressing the recipient in a professional and polite manner. Include all the necessary information and any specific questions or concerns you have.

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Step 6: Double-check the email for any errors or typos.

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Step 7: Attach any necessary documents or files if required.

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Step 8: Click on the 'Send' button to deliver the email to the recipient.

Who needs email - imagine pediatric?

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Anyone who needs to communicate with the pediatric department through email can use this service. This could include parents or guardians seeking medical advice or appointments for their children, medical professionals referring patients, or anyone else with inquiries related to pediatric services.

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