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PATIENT MEDICAL HISTORYPatient Name Date of Birth / / Reason for today's visit Did a physician refer you to NSS? Yes Primary Care Physician If yes, who? List ALL MEDICATIONS you are currently taking
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What is state of colorado medical?
State of Colorado Medical is a form that needs to be filled out by medical practitioners in the state of Colorado to report patient medical information.
Who is required to file state of colorado medical?
Medical practitioners in the state of Colorado are required to file the State of Colorado Medical form.
How to fill out state of colorado medical?
The State of Colorado Medical form can be filled out online or submitted in paper form with all the required patient medical information.
What is the purpose of state of colorado medical?
The purpose of State of Colorado Medical is to ensure accurate reporting of patient medical information by medical practitioners in the state of Colorado.
What information must be reported on state of colorado medical?
The State of Colorado Medical form requires reporting of patient demographics, medical history, current conditions, medications, and treatments.
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