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CENTRAL CAROLINA FOOT & ANKLE ASSOCIATES Patient Registration Form Patient Demographics' division of Inst ride Foot & Ankle SpecialistsChart No: (staff use only)Date: First Name: M.I.: Last Name:

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How to fill out central carolina foot ampankle

01

Start by gathering all necessary documents and information.

02

Visit the Central Carolina Foot & Ankle website.

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Look for the 'Forms' or 'Patient Registration' section.

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Download the 'Central Carolina Foot & Ankle Registration Form'.

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Print the form and fill it out accurately and completely.

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Sign and date the form.

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Make copies of any additional documents required, such as insurance cards or ID.

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Submit the completed form and additional documents by mailing it to the designated address, faxing it to the provided number, or submitting it in person at the Central Carolina Foot & Ankle office.

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Wait for a confirmation or follow-up from the Central Carolina Foot & Ankle team regarding the registration process.

Who needs central carolina foot ampankle?

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Anyone who requires foot and ankle medical care and chooses to seek treatment at Central Carolina Foot & Ankle needs to fill out the registration form.

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