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4150 SE Adams Rd. Bartlesville, OK 74006 (918) 3319979 FAX (918) 3312399 PATIENT AGREEMENT AUTHORIZATION FOR MEDICAL TREATMENT Primary Care Associates, hereafter referred to as Practice, personnel
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Gather all required information such as name, date of birth, address, contact information, medical history, and insurance information.
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Primary care associates provide comprehensive, personalized healthcare services to individuals and families.
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Primary care associates are typically filed by healthcare providers or medical practices.
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The purpose of primary care associates is to document and report the healthcare services provided by the medical practice.
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Information such as patient demographics, diagnosis codes, procedures performed, and billing details must be reported on primary care associates.
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