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Ravish J Malayan MD 5 Executive Dr Ste B1 Lafayette, In 47905 pH: (765) 8070531 Fax: (765) 8070534PATIENTS Informational: ___Patient Name: ___ Last NameSuffixFirst NameMIPermanent Mailing Address:

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How to fill out lg patient packet

01

Gather all necessary information such as personal details, insurance information, medical history, and emergency contacts.

02

Review all provided forms and ensure you understand each section before filling them out.

03

Use a black or blue ink pen to complete the forms neatly and legibly.

04

Double-check all information for accuracy before submitting the packet.

05

Make a copy of the completed packet for your records before turning it in.

Who needs lg patient packet?

01

Patients who are new to a healthcare facility and need to provide their information for medical records.

02

Patients who are undergoing a new medical treatment or procedure and need to update their information.

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What is lg patient packet?

The lg patient packet is a set of documents and forms required to be completed and filed by patients with certain medical conditions.

Who is required to file lg patient packet?

Patients with specific medical conditions are required to file the lg patient packet.

How to fill out lg patient packet?

The lg patient packet can be filled out by providing accurate information about the patient's medical condition and treatment.

What is the purpose of lg patient packet?

The purpose of the lg patient packet is to ensure that patients with specific medical conditions receive appropriate care and treatment.

What information must be reported on lg patient packet?

The lg patient packet must include information about the patient's medical history, current treatment plan, and any other relevant medical information.

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