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9998500557Clark County School DistrictCCF557 7/09SEIGLE DIAGNOSTIC CENTER OCCUPATIONAL/PHYSICAL THERAPY REFERRAL Format: Type of Referral (Check all that apply.):OTPTStudent Name: Student Number:
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Seigle diagnostic center is a medical facility that provides diagnostic services such as x-rays, blood tests, and other medical tests.
Patients who have visited the seigle diagnostic center and healthcare providers who have ordered tests are required to file information.
Patients can fill out seigle diagnostic center forms with their personal information, symptoms, medical history, and insurance details.
The purpose of seigle diagnostic center is to help healthcare providers diagnose and treat medical conditions by providing accurate test results.
Information such as patient demographics, test results, ordering physician details, and insurance information must be reported on seigle diagnostic center forms.
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