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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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How to fill out north texas hand center
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What is north texas hand center?
North Texas Hand Center is a specialized medical facility focusing on the treatment of hand and upper extremity conditions.
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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.
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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.
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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.
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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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