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BRIDGEPORT EXPRESS CARE Urgent Care & Family Practice PATIENT INFORMATION Patients Last Name:First:Social Security No.:Middle:Birth Date:Mrs. Mr. Miss Essex:Here for:Marital Status (Circle One):SingleMarriedUrgent
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What is bridgeport express care?
Bridgeport Express Care is a medical clinic that provides urgent care services.
Who is required to file bridgeport express care?
Patients who receive medical treatment at Bridgeport Express Care are required to file their information.
How to fill out bridgeport express care?
Patients can fill out Bridgeport Express Care's forms either online or in person at the clinic.
What is the purpose of bridgeport express care?
The purpose of Bridgeport Express Care is to provide convenient and efficient urgent medical care services.
What information must be reported on bridgeport express care?
Patients are required to report their personal information, medical history, symptoms, and insurance information on Bridgeport Express Care forms.
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