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PATIENT INFORMATION: Last Name: First Name: MI: SSN: DOB: Gender: Male / Female Email: Address: City: State: Zip: Home pH: Work pH: Cell pH: Cell pH. Carrier: __ I agree to have text message reminders

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Tanana Chiefs Conference Health is a healthcare organization that serves Alaska Native and American Indian people in Alaska.

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The purpose of Tanana Chiefs Conference Health is to provide quality healthcare services to Alaska Native and American Indian people in Alaska.

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Individuals may be required to report personal health information, insurance details, and any other relevant information related to the healthcare services received.

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