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Martha Jefferson Medical Group Pediatric Patient Name: Form completed by: Relationship to Patient:COMPREHENSIVE HEALTH HISTORY Patient Date of Birth: Date Completed:Birth History (if age 10 or older,
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What is martha jefferson medical group?
Martha Jefferson Medical Group is a network of healthcare providers affiliated with Martha Jefferson Hospital in Charlottesville, Virginia.
Who is required to file martha jefferson medical group?
Healthcare providers and facilities affiliated with Martha Jefferson Hospital are required to file Martha Jefferson Medical Group.
How to fill out martha jefferson medical group?
Martha Jefferson Medical Group can be filled out electronically or using paper forms provided by the hospital.
What is the purpose of martha jefferson medical group?
The purpose of Martha Jefferson Medical Group is to track and report healthcare services provided by affiliated providers and facilities.
What information must be reported on martha jefferson medical group?
Information such as patient demographics, services provided, diagnoses, and billing codes must be reported on Martha Jefferson Medical Group.
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