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Howard A. Grossman, MD Jonathan Albert, PAC, APHIDS 2608 NE 16th Avenue Wilton Manors, Florida 333344319 (954) 5308357 tell (954) 5337469 fax www.midwaycare.org New Patient Questionnaire Personal
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Who needs new-patient-packet-z21docx?

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Individuals who are new patients at a medical facility or healthcare provider.
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Patients who need to provide their personal and medical information to their healthcare provider.
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Anyone who is required to complete a new patient packet as part of their registration process.

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It is a document containing forms and information for new patients.
New patients visiting a healthcare facility.
The forms in the packet must be completed with accurate information.
To gather necessary information from new patients for medical records and billing purposes.
Personal details, medical history, insurance information, and consent forms.
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