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Date of Referral: Referral Source Name: Referral Source Phone: 200 North Greensboro St., Suite C6, Carr Mill Mall Marlboro, NC 27510 Phone for referrals: 919.962.3244 Referral Fax: 919.445.0414 General
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To fill out UNC Step Community Clinic form, follow these steps: 1. Start by downloading the form from the official UNC website.
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Read the instructions carefully to understand the requirements for each section of the form.
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Gather all necessary documents and information needed to complete the form, such as medical history, insurance details, and personal identification.
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Begin filling out the form by providing your personal information, including your name, address, contact information, and date of birth.
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Provide detailed information about your medical history, current symptoms, and any pre-existing conditions.
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Sign the form at the designated space, as required.
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Prepare any additional supporting documents, if required, such as referral letters or previous test results.
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UNC Step Community Clinic is designed for individuals who require medical care and attention.
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- Patients who prefer receiving care from a community-based clinic affiliated with UNC Health.
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UNC Step Community Clinic is a free clinic run by students from the University of North Carolina providing healthcare services to the community.
The students and volunteers involved in the clinic are required to file UNC Step Community Clinic.
To fill out UNC Step Community Clinic, volunteers need to provide accurate information about the services provided and the patients treated.
The purpose of UNC Step Community Clinic is to provide free healthcare services to the community and gain hands-on experience for the students.
Information such as services provided, number of patients treated, and any medications administered must be reported on UNC Step Community Clinic.
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