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'310 Soul 'learn Avenue, S. E Washington. DC 20032462UNITED MEDICAL CENTER202.574.64719 202.574.373,5960 VI/III MI. UnielMedlcaICentar.com6 II halo)Favor)O331To:Penny LsnziseraFrom:Fax:fi10.337.5269Pagas:
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Begin by obtaining the necessary forms from Capitol Medical Center LLC. These forms may include a patient information form, a medical history form, and a consent form.
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Fill out the patient information form with your personal details, such as your name, address, contact information, and insurance information if applicable.
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Provide accurate and complete information regarding your medical history on the medical history form. Include any previous illnesses, surgeries, medications, and allergies.
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Read and understand the consent form carefully. Sign it if you agree to the terms and conditions stated.
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Submit the completed forms to Capitol Medical Center LLC. They may provide specific instructions on how and where to submit the forms.

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Capitol Medical Center LLC is a medical center located in the capitol.
The owners or operators of Capitol Medical Center LLC are required to file.
Capitol Medical Center LLC can be filled out by providing all required information accurately and submitting it to the appropriate governing body.
The purpose of Capitol Medical Center LLC is to provide medical services to the community.
Information such as financial statements, operational details, and ownership structure must be reported on Capitol Medical Center LLC.
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