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ReferralFormStuartM. Billiard, M.D. Office:(940)4426760 Fax:(940)4426770 PatientName: DOB: Phone: Diagnosis/Complaint: Insurance: Authorization#:(if required) ReferringPhysician NPI Phone: Fax: AdditionalComments:
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North Texas Hand Center is a specialized medical facility focusing on the treatment of hand and upper extremity conditions.
Patients who have received treatment or services at North Texas Hand Center are required to file the necessary paperwork for insurance and medical record purposes.
Patients can fill out the necessary paperwork for North Texas Hand Center by providing personal information, insurance details, and a description of the medical services received.
The purpose of North Texas Hand Center is to provide top-quality care and treatment for hand and upper extremity conditions to improve patients' quality of life.
Information such as patient's personal details, insurance information, medical history, treatment received, and any follow-up care recommendations must be reported on North Texas Hand Center form.
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