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Pediatric Medicine and Reconstructive Foot and Ankle Surgery Mark A. Green, PM WELCOME TO OUR OFFICE PATIENT INFORMATION TODAYS DATE / / Name: Nickname Circle One: Male Female Marital Status (circle):
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Orlando Foot & Ankle is a medical practice specializing in the diagnosis and treatment of foot and ankle conditions, providing comprehensive care for a wide range of ailments.
Patients who have received services or treatment from Orlando Foot & Ankle may need to file insurance claims or other necessary paperwork related to their care.
Filling out forms related to Orlando Foot & Ankle typically involves providing personal information, insurance details, and specifics about your medical history and the reason for your visit.
The purpose of Orlando Foot & Ankle is to provide specialized medical care for issues related to the foot and ankle, helping patients achieve better mobility, pain relief, and overall foot health.
Important information that must be reported includes patient identification details, treatment history, insurance information, and any specific concerns or conditions affecting the foot and ankle.
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