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Patient Name:DOGMA PULMONARY/SLEEP MEDICINE Dr. S. Jerry Pinto Holly Bell, ARNPCHello, Please fill out this paperwork and bring it with you to your appointment along with your insurance cards and
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Patients who are seeking treatment or services from Mid-South Pulmonary
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Mid-South Pulmonary is a medical institution specializing in pulmonary care.
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Patients who receive treatment or services at Mid-South Pulmonary may be required to fill out forms for their medical records.
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The purpose of these forms is to gather and maintain accurate medical information about patients for their treatment.
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Patients may be required to report their personal information, medical history, current medications, and any relevant symptoms.
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