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Midas Way Patient Wish List 2228 Black Rock Turnpike, Suite 311 Fairfield, CT 06825 2038730671This form can only be submitted by the Child Life Department of a participating hospital. PLEASE PRINT
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To fill out Mikey's Way - Patient, follow these steps:
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Start by downloading the Mikey's Way - Patient form from their official website.
03
Fill in your personal information such as your name, date of birth, and contact details.
04
Provide information about your medical history, including any existing conditions or medications you are currently taking.
05
Indicate any specific preferences or requests regarding your treatment or care.
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Complete any additional sections or questions that may be required by the form.
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Submit the filled-out form to the designated recipient or follow the instructions provided for submission.
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Who needs mikeys way - patient?
01
Mikey's Way - Patient is designed for pediatric patients who are facing long-term hospitalization or undergoing treatment for life-threatening illnesses or chronic conditions.
02
This program is suitable for children and teenagers who may experience isolation, boredom, and anxiety while receiving medical care.
03
Mikey's Way - Patient aims to bring joy, entertainment, and distractions to young patients, helping them cope with their challenging circumstances.
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What is mikeys way - patient?
Mikey's Way - Patient is a form that allows patients to provide their personal information and medical history.
Who is required to file mikeys way - patient?
Mikey's Way - Patient form is typically filled out by patients or their guardians.
How to fill out mikeys way - patient?
To fill out Mikey's Way - Patient form, patients need to provide their personal information, medical history, and any other relevant details.
What is the purpose of mikeys way - patient?
The purpose of Mikey's Way - Patient form is to ensure healthcare providers have accurate and up-to-date information about the patient's medical history and personal details.
What information must be reported on mikeys way - patient?
Patients must report their personal information, medical history, current medications, allergies, and any other relevant healthcare information.
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