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Parkinson's Enrollment Form Phone: 18008961464 Fax Referral To: 18772325455 Address: 500 Ala Mona Blvd., Ste 1A Honolulu, HI 96813 CPDP: 1203417Six Simple Steps to Submitting a Referral1 PATIENT INFORMATION
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Parkinson's disease is a neurodegenerative disorder that affects movement and can cause tremors, stiffness, and difficulty with balance and coordination.
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Information such as medical history, symptoms, medications, treatments, and any other relevant details related to Parkinson's disease may need to be reported.
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