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Poole and Thomas Pediatrics, PLC 2351 Huguenot Drive, Suite 200 Lexington, KY 40503 Phone: 8592607700 Fax: 8592607797Patient Authorization for Use/Release of Health Care Information ((Records Coming
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01
Gather all necessary information and documents required for filling out the Poole and Thomas Pediatrics form.
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Start by filling out the basic information section, which includes the patient's name, date of birth, address, and contact details.
03
Move on to the medical history section, providing relevant details about the patient's previous illnesses, injuries, surgeries, and ongoing medical conditions.
04
Complete the family medical history section, indicating any hereditary diseases or conditions that run in the family.
05
If applicable, fill out the section related to the patient's immunization records, including the dates and types of vaccines received.
06
Provide accurate information about any medications currently being taken by the patient, including dosage and frequency.
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Doctors and healthcare professionals also need Poole and Thomas Pediatrics to gather comprehensive medical information about their pediatric patients.
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What is poole and thomas pediatrics?
Poole and Thomas Pediatrics is a pediatric medical practice that provides healthcare services for children, including routine check-ups, vaccinations, and treatment for illnesses.
Who is required to file poole and thomas pediatrics?
Parents or guardians of patients receiving care at Poole and Thomas Pediatrics may be required to file certain medical documentation or insurance claims.
How to fill out poole and thomas pediatrics?
To fill out forms at Poole and Thomas Pediatrics, you typically need to provide patient personal information, medical history, and insurance details on the required forms during your visit.
What is the purpose of poole and thomas pediatrics?
The purpose of Poole and Thomas Pediatrics is to provide comprehensive healthcare services to children, ensuring their physical, emotional, and developmental health from infancy through adolescence.
What information must be reported on poole and thomas pediatrics?
Information that must be reported includes patient demographics, medical history, current medications, allergies, and details of the visit or treatments received.
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