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Sonoran Medical Centers 19875 N. 51st Avenue Glendale, AZ 85308 Phone: (623) 5818998 Fax: (623) 5816461AUTHORIZATION FOR RELEASE OF MEDICAL RECORDSPatients Name: ___Date of Birth: ___ Phone:___ Address:
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Obtain the new patient forms from Sonoran Medical Centers either in person or online.
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Fill out the required personal information such as name, date of birth, address, and contact information.
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Provide necessary medical history including previous treatments, surgeries, and current medications.
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Complete any insurance information if applicable.
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Sign and date the forms where required.

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Individuals who are new patients at Sonoran Medical Centers.
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Patients who have not previously filled out the necessary paperwork for medical treatment at the center.
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Anyone seeking medical care at Sonoran Medical Centers for the first time.
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Sonoran Medical Centers new is a new facility opened by Sonoran Medical Centers.
The management or owners of Sonoran Medical Centers are required to file for the new facility.
To fill out Sonoran Medical Centers new, the management or owners need to provide all the necessary information about the facility as per the form provided.
The purpose of Sonoran Medical Centers new is to provide more advanced medical services to the community.
Information such as location, services offered, staff details, licensing information, etc. must be reported on Sonoran Medical Centers new.
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