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ECU Health Physicians: Pharmacy Immunization Patient Consent & Vaccine Administration Record FormLast Name: ___ First Name: ___ MI ___ Date of Birth: ___ Sex: M / F Address: ___ City: ___ State: ___
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East Carolina University Physicians is a group of healthcare providers affiliated with East Carolina University that offers a wide range of medical services and treatments.
Individuals and businesses that utilize the medical services offered by East Carolina University Physicians may be required to file certain documents or reports for compliance and billing purposes.
To fill out forms related to East Carolina University Physicians, individuals should gather necessary personal and medical information, follow the provided instructions on the forms, and submit them as instructed—either online or in person.
The purpose of East Carolina University Physicians is to provide high-quality healthcare services, education, and research opportunities for both the community and medical students.
Information that must be reported typically includes patient demographics, medical history, treatment details, and billing information as required by healthcare regulations.
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