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NEWPORT CARDIAC & THORACIC SURGERY ANTHONY D. ZEFFIRELLI, M.D. COLIN I. JOY, M.D. DARYL P. PEARLSTINE, M.D. SAD A. SHAH, M.D.TELEPHONE: 9496504562 FACSIMILE: 9496501274PATIENT INFORMATION SHEET LAST:FIRST:MIDDLE:ADDRESS:
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To fill out the Newport Cardiac & Thoracic form, follow these steps:
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Begin by entering your personal and contact information in the specified fields.
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Provide details about your medical history, including any previous surgeries or treatments related to the cardiac and thoracic area.
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Describe your current symptoms, if any, and provide information about any recent tests or diagnostic procedures you have undergone.
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The Newport Cardiac & Thoracic form is required for individuals who are scheduled to undergo cardiac or thoracic procedures, such as surgeries or diagnostic tests.
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It is typically used by patients who have been referred to a cardiac or thoracic specialist for further evaluation and treatment.
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This form helps the healthcare providers to gather relevant information about the patient's medical history, symptoms, allergies, and current medications.
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Newport Cardiac & Thoracic is a medical facility specializing in cardiac and thoracic care.
Medical professionals who provide cardiac and thoracic care may be required to file Newport Cardiac & Thoracic forms.
Newport Cardiac & Thoracic forms can be filled out online or submitted through a designated portal.
The purpose of Newport Cardiac & Thoracic forms is to gather information about cardiac and thoracic procedures and treatments.
Information such as patient demographics, medical history, procedures performed, and medications prescribed may need to be reported on Newport Cardiac & Thoracic forms.
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