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Christian ne Transfiguration PM Christopher Shin PM Joseph Wells PM Tho Nguyen PM Susan Scott DPM24640 Jefferson Ave, Suite 109 Murrieta, CA 92562 P: 9516771323 F: 9512394233 If patient is a MINOR,
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01
Gather necessary information such as the minor patient's personal details, medical history, and insurance information.
02
Ensure consent form is signed by a parent or guardian before proceeding with any medical treatment.
03
Fill out the patient information section accurately, including name, date of birth, and contact information.
04
Provide details of the reason for the visit and any symptoms or concerns the minor patient may have.
05
Include any relevant medical history, allergies, and medications the minor patient is currently taking.
06
Complete any additional forms or paperwork required by the healthcare provider.

Who needs minor patients please fill?

01
Parents or guardians of minor patients are typically responsible for filling out the patient information and consent forms.
02
Healthcare providers and medical staff may also need to fill out minor patient forms when providing treatment or care.
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Minor patients please fill is a form that must be completed for patients under the age of 18.
Healthcare providers and facilities are required to file minor patients please fill for patients under the age of 18.
Minor patients please fill can be filled out by providing the necessary information about the minor patient, such as their name, date of birth, and medical history.
The purpose of minor patients please fill is to ensure that proper care and treatment are provided to patients under the age of 18.
Information such as the minor patient's name, date of birth, medical history, and any allergies or preexisting conditions must be reported on minor patients please fill.
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