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UNIVERSITY OF NEW MEXICO SPEECHLANGUAGE AND HEARING CENTER (UNSC) CLIENT INFORMATION (32819) Client Name ___ Date Form Completed ___ Birthdate ___ Gender ___ Parent/Caregiver Name (if applicable)
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Submit the completed forms to the clinical services department either in person, online, or through mail.
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Individuals seeking medical or healthcare services from a hospital or healthcare facility.
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Patients requiring specialized treatments or procedures that fall under the jurisdiction of the clinical services department.
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Medical professionals or practitioners referring patients for specific clinical services.
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Health insurance companies or providers requesting information or documentation for coverage purposes.
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The clinical services department is responsible for overseeing the medical care and treatment provided to patients.
Healthcare professionals and facilities are required to file the clinical services department.
You can fill out the clinical services department by providing detailed information about the medical care and treatment provided to patients.
The purpose of the clinical services department is to ensure that patients receive high-quality medical care and treatment.
Information such as patient diagnoses, treatments administered, medications prescribed, and outcomes must be reported on the clinical services department.
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