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Pediatric Associates of Madison
21 HUGHES RD. SUITE 2 MADISON, AL 35758
(256)7722037
FAX (256) 7729523AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION
Each Patient Must Have a Separate Release Formulas
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01
Obtain the necessary forms from the front desk staff at Pediatric Associates.
02
Fill out the patient's personal information such as name, date of birth, and address.
03
Provide details about the patient's medical history, including any allergies or chronic conditions.
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Who needs forms - pediatric associates?
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All patients, both new and existing, of Pediatric Associates are required to fill out forms to update their medical records and provide accurate information for their healthcare providers.
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What is forms - pediatric associates?
Forms - Pediatric Associates refers to the documentation required for administrative processes and healthcare management specific to pediatric healthcare practices.
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