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FAMILY PRACTICE ASSOCIATES, P.C.REV: 92818433 Summit Blvd, #201 Broomfield, CO 80021 3036739090SELFPAY FINANCIAL POLICYPatients eligible for a 25% SelfPay discount: Patients with no public or private

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Gather necessary information such as name, contact details, insurance information, medical history, and emergency contacts.

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Medical facilities and healthcare professionals looking to add new patients to their practice.

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New patients - family refers to the initial registration process for family members who are seeking medical attention or health services for the first time.

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Information that must be reported includes patient demographics, insurance details, emergency contact information, and medical history.

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