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PATIENT INFORMATION (Please Print)Patient Name (Child) ___FirstMiddleLastDate of Birth ___Patient SS# ___Patients Sex ___Address ___City ___ State ___ Zip Code___Phone: Home ___ Work___ Cell___Emergency
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The Craniofacial Team of Texas is a specialized medical team that provides comprehensive care to patients with craniofacial abnormalities.
Patients who have been diagnosed with craniofacial abnormalities and are seeking specialized care from the Craniofacial Team of Texas.
Patients can fill out the necessary forms and provide all required medical information to the Craniofacial Team of Texas during their initial consultation.
The purpose of the Craniofacial Team of Texas is to provide coordinated, multidisciplinary care to patients with craniofacial abnormalities in order to improve their quality of life.
Patients must report their medical history, previous treatments, current symptoms, and any relevant diagnostic test results to the Craniofacial Team of Texas.
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