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Carolina Child neurology Dr. Sheila Insular, MD1540 Purdue Dr. Suite 101 | Fayetteville, N.C. 28303 | Phone: (910) 491 2437 | Fax: (910) 491 2439carolinachildneurology@gmail.comAUTHORIZATION TO RELEASE
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Obtain the Carolina Child Neurology form either online or from the doctor's office.
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Fill out the patient's personal information including name, date of birth, address, and contact information.
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Provide details about the child's medical history, including any previous treatments or medications.
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Answer any specific questions on the form related to the child's neurology symptoms or conditions.
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Parents or guardians of children who are experiencing neurological symptoms or conditions.
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Schools or educational institutions requiring documentation of a child's neurological status for accommodations or support.
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Carolina Child Neurology is a medical practice specializing in pediatric neurology.
Carolina Child Neurology must be filled out by patients or their legal guardians.
Carolina Child Neurology can be filled out by providing accurate information about the patient's medical history and current condition.
The purpose of Carolina Child Neurology is to assess and diagnose neurological conditions in pediatric patients.
The report must include details about the patient's medical history, symptoms, any previous diagnoses, and current medications.
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