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Santa Barbara PEDIATRIC DEMOGRAPHIC FORMRebecca D. Gilbert, M.D. 2420 Castillo Street, Suite 100 Santa Barbara, CA 93105 Tel: (805) 5631999 Fax: (805) 5634999 PATIENT Informational ___ LastSexMFDOB:
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Make sure you have all the necessary information such as your child's name, date of birth, medical history, and insurance information.
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Who needs santa barbara ent pediatric?

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Children who require specialized ear, nose, and throat care such as treatment for chronic ear infections, tonsil issues, or speech and swallowing disorders.
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Santa Barbara ENT Pediatric is a medical facility specializing in ear, nose, and throat care for children.
Parents or legal guardians of pediatric patients who receive services from Santa Barbara ENT Pediatric are required to file.
To fill out Santa Barbara ENT Pediatric forms, parents or legal guardians must provide accurate information about the child's medical history and current health status.
The purpose of Santa Barbara ENT Pediatric is to provide specialized medical care and treatment for children with ear, nose, and throat conditions.
Information such as the child's medical history, current symptoms, any medications being taken, and previous treatments received must be reported on Santa Barbara ENT Pediatric forms.
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