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21 Story Avenue, Newburyport, MA 01950 T 978.358.8777 F 978.358.7884 www.yourchoicemedical.org Kay A. Fight, MD Anja M. Come, FNPC Melissa K. Maloney, ANPBCHIPAA* PATIENT PRIVACY ACKNOWLEDGEMENT STATEMENT
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What is your choice medical?
Your choice medical typically refers to a medical selection option that allows individuals to select their preferred healthcare provider or plan.
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Individuals who wish to enroll in a specific healthcare plan or provider network are required to file their choice medical.
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To fill out your choice medical, complete the required forms provided by the healthcare program, ensuring all personal and relevant information is accurately inputted.
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The purpose of your choice medical is to establish your healthcare preferences and ensure that you receive the appropriate level of care from your selected providers.
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Essential information that must be reported includes personal identification details, contact information, and specific choices regarding your healthcare coverage.
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