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AUTHORIZATION TO USE AND/OR DISCLOSE HEALTH INFORMATION Dakota Pediatrics 3636 N First Street, suite 120, Fresno, CA 93726 Phone: (559) 2244365 Fax: (559) 2244354 Patients Name: Date of Birth: Completion

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What is dakota pediatrics?

Dakota Pediatrics is a healthcare organization that provides medical care and services specifically for children in the Dakota region.

Who is required to file dakota pediatrics?

Pediatric healthcare providers and institutions that cater to children in the Dakota region are required to file Dakota Pediatrics.

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To fill out Dakota Pediatrics, providers should gather patient information, treatment history, and relevant medical data, and adhere to the specific guidelines provided by the organization.

What is the purpose of dakota pediatrics?

The purpose of Dakota Pediatrics is to ensure that pediatric healthcare providers are properly reporting and tracking the health and wellness of children in the community.

What information must be reported on dakota pediatrics?

Information that must be reported includes patient demographics, health assessments, treatment outcomes, and any follow-up care provided.

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