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P.O. BOX 158 ESPAÑA, NEW MEXICO 87532 Phone: 5057475940 Fax: 5057478943 Website: www.ecfh.orgEl CENTR FAMILY HEALTH EMPLOYMENT APPLICATION FORM In compliance with federal and state law, qualified
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Start by gathering all the necessary documents such as identification, proof of address, and insurance information.
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Visit the El Centro Family Healthcenter website and locate the patient registration form.
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Download and print the registration form.
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Fill out the registration form with accurate and up-to-date information.
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Double-check the form to ensure all fields are completed correctly and no information is missing.
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Upon arrival, present the completed form and documents to the receptionist.
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Follow any further instructions provided by the staff at the health center.
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Keep a copy of the completed registration form and any other documents given to you for future reference.

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El Centro Family Health Center is a community health center that provides medical, dental, and behavioral health services to individuals and families in the local area.
Individuals and families who receive services from El Centro Family Health Center may be required to file certain paperwork or documentation as part of their treatment plan.
To fill out paperwork or documentation for El Centro Family Health Center, patients can visit the center in person or contact them directly for assistance.
The purpose of El Centro Family Health Center is to provide accessible and affordable healthcare services to the community, promoting overall well-being and preventive care.
Information such as medical history, insurance information, contact details, and any symptoms or concerns experienced by the patient may need to be reported on El Centro Family Health Center forms.
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