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University Medical Associates of Aiken PATIENT REGISTRATION FORM Patient Information Last Name: ___ First Name: ___ M.I. ___ Marital Status: ___ DOB: ___/___/___ Race:___ Sex: ___Male ___Female Address:
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What is university medical associates of?
University Medical Associates is a group of physicians and healthcare providers associated with a university medical center.
Who is required to file university medical associates of?
All healthcare providers who are part of University Medical Associates are required to file.
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University Medical Associates can be filled out online or through a paper form provided by the university medical center.
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The purpose of University Medical Associates is to track the healthcare providers associated with the university medical center and their medical activities.
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Information such as name, specialty, license number, and medical activities must be reported on University Medical Associates.
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