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Eastern Plains Medical Clinic of Clan
560 Crystal Street * P.O. Box 275
Clan, CO 80808
(719)3470100 (o) * (719)3470851 (f)Patient Authorization to Disclose Protected Health Information
_________Patient
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What is eastern plains medical clinic?
Eastern Plains Medical Clinic is a healthcare facility located in the eastern region of the plains.
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To fill out Eastern Plains Medical Clinic, healthcare providers need to provide accurate and detailed information about their services, patients, and billing.
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The purpose of Eastern Plains Medical Clinic is to keep track of healthcare services provided in the eastern plains region and ensure compliance with regulations.
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Information such as patient demographics, services provided, healthcare provider details, and billing information must be reported on Eastern Plains Medical Clinic.
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