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Supplemental Dietetic Internship Application
Name
Address
City, State, Zip
Telephone Number
Email Address
Didactic Program
(University)
Hospital of Choice
Please note that rotations will be either
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03
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What is hospital of choice?
Hospital of choice is the hospital where a patient prefers to receive medical treatment.
Who is required to file hospital of choice?
Patients who have the option to choose their hospital for medical treatment are required to file hospital of choice.
How to fill out hospital of choice?
To fill out hospital of choice, patients need to indicate their preferred hospital when discussing treatment options with their healthcare provider or by filling out a specific form provided by their healthcare provider.
What is the purpose of hospital of choice?
The purpose of hospital of choice is to allow patients to receive medical treatment at a hospital of their choosing, based on factors such as location, quality of care, and personal preferences.
What information must be reported on hospital of choice?
Patients must report the name and location of the preferred hospital, as well as any specific reasons for choosing that hospital.
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