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BOARDOFASSESSORS CityofBrockton City Hall Brockton,MA02301 5085807194FY2023 (July1,2022June30,2023) GeneralLawsCh.59,5 VeteransClause22 Name:___ Address:___ Phone #:___ Parcel I'd:___ Property upon
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Gather all necessary personal information such as name, address, phone number, and insurance information.
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Arrive at the Good Samaritan Medical Center and check in at the front desk.
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Fill out the patient registration form with your personal information.
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Provide any relevant medical history or information about your current health concerns.
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Wait to be called back by a nurse or medical professional for further evaluation and treatment.

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Anyone in need of medical care or treatment can benefit from the services provided at Good Samaritan Medical Center.
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Good Samaritan Medical Centera is a healthcare facility that provides medical services to patients in need.
Healthcare providers and facilities are required to file Good Samaritan Medical Centera.
Good Samaritan Medical Centera can be filled out online or submitted in person at the healthcare facility.
The purpose of Good Samaritan Medical Centera is to provide accurate and timely reporting of medical information.
Good Samaritan Medical Centera must include patient demographics, medical treatments received, and any complications experienced.
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