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PERMIAN INTERNAL MEDICINE ASSOCIATES (LIMA) 403 PITTSBURGH AVENUE, ODESSA, TEXAS 79761 Phone (432) 3323400 Fax (432) 3326500 www.pima1.com Patient Portal: http://9460.portal.athenahealth.comUPDATED
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How to fill out 44 new patient registration
How to fill out 44 new patient registration
01
Obtain a copy of the 44 new patient registration form.
02
Read the instructions on the form carefully to ensure you understand the information required.
03
Fill out your personal details, such as your full name, date of birth, and contact information, in the designated fields.
04
Provide your medical history, including any pre-existing conditions, medications you are currently taking, and allergies.
05
Indicate your insurance information, including your policy number and provider.
06
Sign and date the form to acknowledge that the information provided is accurate.
07
Submit the completed form to the appropriate healthcare provider or office.
Who needs 44 new patient registration?
01
Individuals who are new patients and seeking medical care from a healthcare provider or office.
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What is 44 new patient registration?
44 new patient registration is the process of registering new patients in a healthcare facility.
Who is required to file 44 new patient registration?
Healthcare providers and facilities are required to file 44 new patient registrations.
How to fill out 44 new patient registration?
To fill out 44 new patient registration, healthcare providers need to collect information about the new patient and enter it into the registration form.
What is the purpose of 44 new patient registration?
The purpose of 44 new patient registration is to create a record of the new patient and capture important information for healthcare providers to provide care.
What information must be reported on 44 new patient registration?
Information such as patient's name, contact information, insurance details, medical history, and reason for visit must be reported on 44 new patient registration.
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