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Desert Valley Audiology___ 501 S Rancho Dr Ste B10 Las Vegas, NV 89106 Office (702)6059133×1 Fax (702)6786159 Child Intake Formation Name___ Date of birth___Sex___ Parent name(s) ___ Address___City___State___Zip___Telephone:
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How to fill out desert valley pediatricslas vegas

01
Obtain the necessary forms or paperwork from the front desk when you arrive at Desert Valley Pediatrics in Las Vegas.
02
Fill out all required information accurately, including patient's name, date of birth, medical history, insurance information, and emergency contacts.
03
Double check each section to ensure it is filled out completely and legibly.
04
Return the completed forms to the front desk receptionist before your appointment.

Who needs desert valley pediatricslas vegas?

01
Parents or guardians with children in need of pediatric healthcare services in Las Vegas may benefit from Desert Valley Pediatrics.

What is Desert Valley PediatricsLas Vegas Children's Healthcare Form?

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Desert Valley Pediatrics is a pediatric healthcare provider located in Las Vegas, specializing in the medical care of children from infancy to adolescence.
Typically, parents or legal guardians of patients receiving pediatric care at Desert Valley Pediatrics are required to complete necessary patient forms and documentation.
To fill out forms for Desert Valley Pediatrics, individuals should obtain the necessary paperwork from the clinic, follow the instructions provided, and submit any required information accurately.
The purpose of Desert Valley Pediatrics is to provide comprehensive medical care, preventive services, and health education for children and adolescents.
Information required generally includes the child's medical history, current medications, allergies, immunization records, and contact information of guardians.
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