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L file GRAPHIC print — DO NOT PROCESS Form As Filed Data DAN: 93493226020583 OMB No 1545-0047 Return of Organization Exempt From Income Tax 990 Under section 501 (c), 527, or 4947 (a)(1) of the
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How to fill out Holmes Regional Medical Center:

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Visit the Holmes Regional Medical Center website or go to the hospital in person to begin the process.
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Complete the necessary patient registration forms, which may be available online or at the hospital's registration desk.
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Provide accurate personal information such as your full name, date of birth, address, and contact information.
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Fill out the medical history form, providing details about any previous health conditions, surgeries, or allergies you may have.
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If you have health insurance, provide your insurance information and any necessary authorizations.
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If you have any questions or need assistance, don't hesitate to ask a staff member at the registration desk.

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Individuals who require specialized medical care, including surgeries, diagnostic procedures, or treatment for complex medical conditions may need Holmes Regional Medical Center.
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Patients who are referred to Holmes Regional Medical Center by their primary care physicians for further evaluation or advanced treatment options.
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Residents in the nearby community who seek comprehensive healthcare services, including primary care, specialty care, and preventive care, may choose Holmes Regional Medical Center as their healthcare provider.
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It is important to note that becoming a patient at Holmes Regional Medical Center may require a formal referral from a healthcare provider or following specific admission procedures.
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Holmes Regional Medical Center is a hospital located in Melbourne, Florida.
Healthcare providers and facilities who have treated patients at Holmes Regional Medical Center are required to file.
The form for reporting information on Holmes Regional Medical Center can be filled out online or by mail.
The purpose of Holmes Regional Medical Center is to gather data on the healthcare services provided at the facility.
Information such as patient demographics, diagnosis, treatment procedures, and outcomes must be reported.
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