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NEW PATIENT INFORMATION CHECKLIST RADIATION CLI.2072DATE OF REFERRAL: REQUESTED SERVICES:Diagnosis: RAD ON MED ON Patient Name DOB SS #: Address Telephone # Insurance VA Auth # Referring Physician
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What is uc davis health?
UC Davis Health is a comprehensive healthcare system that includes a medical center, medical group, and nursing school, providing a wide range of medical services and education.
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Individuals participating in health insurance plans and those who receive health services from UC Davis Health may be required to file relevant health paperwork.
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The purpose of UC Davis Health is to provide high-quality healthcare services, conduct medical research, and educate future healthcare professionals.
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Information such as personal identification, health coverage details, and service utilization must typically be reported when filing UC Davis Health documents.
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