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Andrews Sports Medicine Patient Pre-Registration Packet 2019-2025 free printable template

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Dear Patient, It is important that you follow the guidelines listed below in order to help ensure you are seen in a timely manner and that correct data regarding your visit is obtained. (Please initial
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How to fill out Andrews Sports Medicine Patient Pre-Registration Packet

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How to fill out Andrews Sports Medicine Patient Pre-Registration Packet

01
Begin by downloading the Andrews Sports Medicine Patient Pre-Registration Packet from their official website.
02
Carefully read the instructions provided at the beginning of the packet.
03
Fill out your personal information including your full name, date of birth, address, and contact details.
04
Provide your insurance information, including the name of the insurance company, policy number, and group number.
05
Complete the medical history section by detailing any past surgeries, current medications, and any allergies.
06
Sign and date the packet where indicated, confirming that the information provided is accurate.
07
Submit the completed packet via the method suggested in the instructions, either online, by mail, or in person.

Who needs Andrews Sports Medicine Patient Pre-Registration Packet?

01
Anyone seeking medical treatment at Andrews Sports Medicine.
02
Patients who are new to the clinic and need to establish a file.
03
Individuals who have an upcoming appointment and need to provide information beforehand.
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The Andrews Sports Medicine Patient Pre-Registration Packet is a set of documents provided to new patients to gather necessary information prior to their first appointment.
All new patients seeking treatment at Andrews Sports Medicine are required to complete and file the Patient Pre-Registration Packet.
To fill out the packet, patients should read through each section carefully, provide the requested personal and medical information, and sign where indicated before submitting it.
The purpose of the packet is to collect essential medical history and insurance details to facilitate the patient's registration and ensure a smooth appointment process.
Patients must report personal identification information, insurance details, medical history, current medications, and any allergies on the packet.
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