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Southeast Georgia Physician Associates Patient Information and Authorization Format: Patient Informational Name:First Name: MI.: Date of Birth: / / Age: SSN: *In accordance with CFR 170.207(n) & 82
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Start by reading through chapter 11 of the office procedures manual to familiarize yourself with the content.
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The information required may include identification details, specific procedures being reported, and any relevant documentation or supporting evidence.
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