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Enrollment Form 35 Commerce Lane, Te Puke Phone: (07) 573 0091 Fax: (07) 881 9235Our Practice would prefer electronic GP2GP Notes Transfer Our EDI is: Powell Dr Dan Jackson 69702 Dr Jen Hall 69700
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Start by gathering all the necessary information and documents required to fill out the Poutiri Wellness Center PHO form.
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Carefully read through the form instructions and understand the purpose of each section.
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Begin by providing your personal details, including your name, address, contact information, and any other requested information.
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Proceed to fill out the medical history section, providing accurate and comprehensive information about your past and current health conditions, medications, allergies, and any other relevant details.
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The PHO form is primarily required for enrollment purposes, allowing individuals to become registered patients and access the various healthcare programs, treatments, and support provided by the Poutiri Wellness Center.
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Poutiri wellness center pho is a form used for reporting wellness activities at the Poutiri Wellness Center.
All employees and patients who have participated in wellness activities at the Poutiri Wellness Center are required to file the form.
The form can be filled out online or in person at the Poutiri Wellness Center. It requires information about the type of wellness activities participated in, duration, and impact on health.
The purpose of the form is to track and assess the effectiveness of wellness activities offered at the Poutiri Wellness Center.
Information such as the type of wellness activities, duration of participation, and any health benefits experienced must be reported on the form.
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