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1664 S Dixie Dr. STED102, St. George, UT 84770 pH (435) 6562995 Fax: (435) 6563237 PATIENT INFORMATION Patient Name:___Address:___SAME AS ABOVE: Yes Nose:Date of Birth:__ Home__/_Zip Code:___Cell
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Start by completing your personal information, including name, date of birth, and contact details.
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Next, provide your medical history, including any past illnesses, surgeries, or current medications.
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Desert edge medical is needed by individuals who are seeking medical services or treatment at Desert Edge Medical Clinic.
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It is also required by patients who want to provide their medical history and personal information to the medical facility.
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Desert Edge Medical refers to a healthcare facility or system that provides medical services in desert regions, focusing on environmental and regional health needs.
Individuals or entities that receive medical services from Desert Edge Medical or those involved in financial reporting related to these services may be required to file.
Filling out Desert Edge Medical forms typically involves providing personal information, medical history, insurance details, and any relevant financial information as per the guidelines provided by the institution.
The purpose of Desert Edge Medical is to provide accessible healthcare services to populations living in desert areas, ensuring that they receive timely and appropriate medical attention.
Reported information may include patient demographics, medical history, treatment provided, insurance claims, and other health-related data necessary for service documentation and billing.
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