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!ICH.RP. June, D.D.S. Proctor Professional Building 5401 N. Knoxville Avenue, Suite 302 Peoria, Illinois 61614 (309 6937200Registration and Medical HistoryPatient Name Residence A d d r e s City State
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Provide your insurance details, including the name of your insurance provider and your policy number.
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Specify your primary care physician, if you have one, or choose a physician from Proctor Medical Group.
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Mention any existing medical conditions or allergies you have.
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Proctor Medical Group-Primary Care is a healthcare provider that offers primary care services to patients.
Proctor Medical Group-Primary Care is required to file reports concerning their patients and services provided.
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The purpose of Proctor Medical Group-Primary Care is to ensure proper documentation and reporting of healthcare services provided.
Information such as patient demographics, medical history, treatment plans, and billing details must be reported on Proctor Medical Group-Primary Care.
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