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OB INFORMATION FORM DOWNTOWN WOODBURY APPLEWOOD APPLE VALLEY PATIENT NAME: DOB: ACCOUNT NUMBER: METRO OB/GUN PHYSICIAN NAME: DATE OF LAST MENSTRUAL PERIOD: DUE DATE: NUMBER OF PREGNANCIES(INCLUDING
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Metro OBGYN physician name is Dr. John Smith.
All patients seen by Metro OBGYN physicians are required to provide their physician's name during registration.
Patients can fill out the physician name field on their registration form at Metro OBGYN clinics.
The purpose of the metro OBGYN physician name is to ensure accurate records and provide proper care to patients.
The physician's full name and credentials must be reported on the metro OBGYN physician name form.
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