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PRECISION Orthopedic SPECIALTIES, INC. AUTHORIZATION FOR DISCLOSURE OF PROTECTED HEALTH INFORMATION (PHI) Name: LastFirstMiddle Initial Day Phone: Date of Birth:Last Four Digits of SSN: XXXI voluntarily
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Precision Orthopaedic Specialties Inc is a medical practice that specializes in orthopedic care, providing comprehensive services related to the musculoskeletal system.
Medical professionals and entities engaging in orthopedic services under the name of Precision Orthopaedic Specialties Inc are required to file the necessary documentation with relevant regulatory bodies.
To fill out Precision Orthopaedic Specialties Inc forms, ensure that all required fields are completed with accurate information including practice details, provider information, and any necessary medical documentation.
The purpose of Precision Orthopaedic Specialties Inc is to provide specialized orthopedic medical services, enhance patient outcomes, and advance musculoskeletal care through a patient-centered approach.
The information required includes the entity’s name, address, provider details, services offered, patient demographics, and any applicable insurance information.
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