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P 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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How to fill out new-patient-packet-pcpdocx

01
Download the new-patient-packet-pcpdocx from the provided link.
02
Begin by filling out personal information such as name, date of birth, address, and contact information.
03
Fill out any medical history or insurance information that is requested.
04
Make sure to sign and date the document where required.
05
Review the entire packet to ensure all sections are completed accurately.
06
Save a copy for your records and submit the completed form to your primary care physician's office.

Who needs new-patient-packet-pcpdocx?

01
Any individual who is a new patient at a primary care physician's office and is required to fill out paperwork before their first appointment.

What is NEW-PATIENT-PACKET-PCP.docx Form?

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It is a document containing necessary forms and information for new patients to fill out when visiting a primary care physician.
New patients visiting a primary care physician are required to fill out the new-patient-packet-pcpdocx.
New patients need to complete all the forms included in the new-patient-packet-pcpdocx with accurate information.
The purpose of new-patient-packet-pcpdocx is to gather essential information from new patients for the primary care physician.
Information such as personal details, medical history, insurance information, and emergency contacts must be reported on new-patient-packet-pcpdocx.
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