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J. Mark Saunders, OD Jill Greene, OD 4637MainStreetShallotte,NC28470___ PatientName(Printed)___ DateofBirthNoShowandCancellationPolicy Pleaseunderstandthatourappointmenttimesarescheduledtoallowustotakecareofeach individualpatientsneedsduringthepatientsvisit.

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Gather all necessary information such as personal information, insurance information, and medical history.

02

Fill out all sections of the paperwork accurately and completely.

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Submit the completed paperwork to the designated healthcare provider or facility.

Who needs new pt paperwork?

01

New patients who are seeking medical care from a healthcare provider or facility.

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What is new pt paperwork?

New pt paperwork is the documentation that must be filled out by a new patient before their first appointment.

Who is required to file new pt paperwork?

All new patients are required to file new pt paperwork.

How to fill out new pt paperwork?

New pt paperwork can be filled out either in person at the healthcare facility or online through a patient portal.

What is the purpose of new pt paperwork?

The purpose of new pt paperwork is to collect important information about the patient's medical history, insurance information, and contact details.

What information must be reported on new pt paperwork?

New pt paperwork typically requires information such as name, date of birth, medical history, current medications, allergies, and insurance information.

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