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Pediatrics in the Islands Clinical Pearls 2014 June 29- ? July 4, 2014, Hyatt Regency Maui Hawaii CONFERENCE REGISTRATION Click here to register online Click here to add/update your mailing list information
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Start by entering your personal information such as your name, date of birth, and contact details. Make sure to provide accurate and up-to-date information.
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Next, indicate whether you are the patient or filling out the form on behalf of the patient. If you're filling out the form for someone else, you may need to provide additional information about the patient.
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Specify the reason for the visit or consultation. This could include a brief description of the symptoms or medical condition that necessitates the appointment.
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Provide the name and contact information of the patient's primary care physician, if applicable.
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Indicate any allergies or medications the patient is currently taking. This is crucial for the healthcare providers to be aware of any potential complications or drug interactions.
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Submit the form either online, via mail, or in person as per the instructions provided by childrenshospitallamedicalgroup.
Who needs pi-14_registrationform_web-4 - childrenshospitallamedicalgroup:
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What is pi-14_registrationform_web-4 - childrenshospitallamedicalgroup?
The pi-14_registrationform_web-4 - childrenshospitallamedicalgroup is a registration form for the Children's Hospital Medical Group.
Who is required to file pi-14_registrationform_web-4 - childrenshospitallamedicalgroup?
Parents or legal guardians of children receiving medical services from the Children's Hospital Medical Group are required to file the form.
How to fill out pi-14_registrationform_web-4 - childrenshospitallamedicalgroup?
The form can be filled out online on the hospital's website or in person at the hospital's registration desk.
What is the purpose of pi-14_registrationform_web-4 - childrenshospitallamedicalgroup?
The purpose of the form is to provide the hospital with necessary information about the patient and their insurance coverage.
What information must be reported on pi-14_registrationform_web-4 - childrenshospitallamedicalgroup?
The form typically requires information such as patient's name, date of birth, contact information, insurance details, and emergency contact information.
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