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NAME: AGEINYEARS: DATE: DOB (CHECK/FILLOUTALLTHATAPPLY) Whoreferredyoutoourpractice? Whatisthereasonfortodaysvisit? Whichsideisaffected?LEFTRIGHTBothsides 1Were
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How to fill out dr flores new patient

01
Start by gathering all necessary documentation such as identification, insurance information, and any relevant medical records.
02
Contact Dr. Flores' office to schedule an appointment as a new patient.
03
Arrive at the appointment and bring all required documents with you.
04
When you arrive, the receptionist will provide you with a new patient form to fill out.
05
Fill out the form accurately and completely, providing all required information.
06
If you have any questions or need assistance, don't hesitate to ask the receptionist or a staff member.
07
Once you have completed the form, return it to the receptionist.
08
Wait for your turn to see Dr. Flores.
09
During your appointment, Dr. Flores will review your medical history and discuss any concerns or questions you may have.
10
Follow any further instructions provided by Dr. Flores or the staff.
11
After the appointment, you may be asked to schedule any necessary follow-up visits or procedures.
12
Keep a copy of the completed form and any other relevant paperwork for your records.

Who needs dr flores new patient?

01
Anyone who wishes to become a new patient of Dr. Flores needs to fill out the new patient form.
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Dr. Flores new patient is a form that needs to be filled out for new patients visiting Dr. Flores for the first time.
All new patients visiting Dr. Flores for the first time are required to fill out the dr flores new patient form.
To fill out the dr flores new patient form, patients need to provide their personal information, medical history, insurance details, and any other relevant information requested by Dr. Flores.
The purpose of the dr flores new patient form is to gather all necessary information about the patient to provide them with the best possible care and treatment.
Information such as personal details, medical history, insurance information, emergency contacts, and any other relevant details requested by Dr. Flores must be reported on the dr flores new patient form.
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