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BENTON MEDICAL CENTER NEW PATIENT CHILD FACE SHEET DATE: DOB:PATIENT NAME: BIRTHRIGHT:SEX:ADDRESS: CITY:MALEFEMALEHOME TELEPHONE: STATE:ZIP CODE:EMAIL:INSURANCE:MEDICAID:CARDHOLDERS FULL NAME & DATE
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What is fenton medical center?
Fenton Medical Center is a healthcare facility located in Fenton, Michigan that provides medical services to the community.
Who is required to file fenton medical center?
All healthcare providers and facilities that operate under the Fenton Medical Center name are required to file.
How to fill out fenton medical center?
Fenton Medical Center forms can be filled out online or in person at the facility.
What is the purpose of fenton medical center?
The purpose of Fenton Medical Center is to provide high-quality healthcare services to the community.
What information must be reported on fenton medical center?
Information such as patient demographics, medical history, and treatments administered must be reported on Fenton Medical Center forms.
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