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Pankhurst Rheumatology4204 Murdocksville Road, West End, NC | 1413 Greenway Court, Sanford, NC Phone: 9102550055 | Fax: 9102550060 www.pinehurstmedical.comTo ensure that this request is processed

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How to fill out pinehurst rheumatology phone fax

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To fill out Pinehurst Rheumatology phone fax, follow these steps:

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Start by filling out the patient's name and date of birth on the top of the form.

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Provide the patient's contact information, including their phone number and address.

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Fill in the details of the referring physician, including their name, address, and phone number.

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Specify the reason for the referral and any relevant medical history or current symptoms.

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Include any insurance information or authorization details if required.

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What is pinehurst rheumatology phone fax?

Pinehurst Rheumatology phone fax number is 555-555-5555.

Who is required to file pinehurst rheumatology phone fax?

The designated personnel at Pinehurst Rheumatology are required to file the phone fax.

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To fill out the fax form, one must include the necessary patient information and medical details.

What is the purpose of pinehurst rheumatology phone fax?

The purpose of the phone fax is to communicate important medical information quickly and securely.

What information must be reported on pinehurst rheumatology phone fax?

Patient name, date of birth, medical history, current medications, and reason for faxing must be reported.

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