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DOCKET NO:BOARD MEETING:PROJECT NO:January 2729, 200908071FACILITY NAME:CITY:Bolingbrook DialysisBolingbrookTYPE OF PROJECT: NonSubstantivePROJECT COST: Original: $4,672,128 Current:HSA:PROJECT DESCRIPTION:
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Review the instructions provided at the beginning of the document.
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Fill in your personal information, such as your name, address, date of birth, and contact details.
05
Provide your medical history, including any pre-existing conditions or previous dialysis treatments.
06
Answer the questions regarding your current health status and any symptoms you may be experiencing.
07
Indicate your preferred type of dialysis treatment and any specific requirements you may have.
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If applicable, provide information about your insurance coverage or payment preferences.
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Review the completed form for any errors or missing information.
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Save a copy of the filled-out form for your records and submit it to the Bolingbrook Dialysis Center as instructed.

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Anyone who requires dialysis treatment at the Bolingbrook Dialysis Center needs to fill out the 08-071 Bolingbrook Dialysis Centerdoc.
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The 08-071 Bolingbrook Dialysis Center document is a specific form or report associated with services offered by the Bolingbrook Dialysis Center for regulatory or administrative purposes.
Healthcare providers and facilities involved in dialysis services at the Bolingbrook location must file the 08-071 document.
To fill out the 08-071 document, one must provide complete and accurate information regarding patient care, facility details, and services rendered as per the specific guidelines outlined in the form instructions.
The purpose of the 08-071 bolingbrook dialysis centerdoc is to collect necessary data for compliance, quality assurance, and monitoring of dialysis services provided at the Bolingbrook facility.
The 08-071 document must report information such as patient demographics, treatment details, service dates, and outcomes related to dialysis procedures at the Bolingbrook center.
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