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Welcome to CHRISTS St. Vincent Medical Group Today\'s Date: PATIENT INFORMATION Legal Name:Preferred Name:Address (Street, City, State, Zip): SSN: Gender:Date of Birth: MaleFemaleRelationship Status:Transgenderism
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Begin by entering your personal information such as your full name, date of birth, and contact details.
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Anyone who is planning to visit or be admitted to Christus St can fill out the welcome form. It is required for all patients, regardless of their reason for coming to the facility.
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