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Barton Community Health Center Pediatrics 2201 South Ave. South Lake Tahoe, CA 96150 Phone (530) 5435550 Fax (530) 5428734AUTHORIZATION FOR USE, DISCLOSURE, OR RECEIPT OF HEALTH INFORMATION Completion
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Start by obtaining the necessary forms from the Barton Community Health Center. These forms can typically be found online or in person at their location.
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Fill out personal information such as your name, address, date of birth, and contact information.
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Provide any relevant medical history, including a list of medications you are currently taking.
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Fill out insurance information, if applicable. This includes providing your insurance provider's name, policy number, and any necessary authorizations.
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Indicate any specific medical concerns or reasons for your visit to the Barton Community Health Center.
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Make sure to carefully review all completed sections and ensure there are no errors or missing information.
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Submit the completed form to the Barton Community Health Center either in person, by mail, or electronically if applicable.
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If necessary, follow up with the health center to verify receipt of your completed form and schedule any necessary appointments.

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Barton Community Health Center is a medical facility that provides healthcare services to the community.
The administrators of the Barton Community Health Center are required to file necessary documents and reports.
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The purpose of Barton Community Health Center is to improve the healthcare services available to the community and promote overall well-being.
Information such as patient demographics, medical services provided, financial records, and operational data must be reported on Barton Community Health Center documents.
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