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Timarron Family Medicine200 Pecan Creek Dr. Southlake, TX 76092 Phone: (817) 4814739 Fax: (817) 4815198PATIENT INFORMATION FORMName of Patient: (last) ___ (first) ___ Address: ___ Home Phone #: ___
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Timarron Family Medicine PA is a healthcare organization that provides a range of family medical services, including preventive care, treatment of illnesses, and management of chronic conditions.
Individuals seeking medical care from Timarron Family Medicine PA, as well as any required administrative filings pertaining to insurance or health records, must comply with associated paperwork.
To fill out the Timarron Family Medicine PA forms, patients typically need to provide personal identification details, medical history, and insurance information as prompted in the forms.
The purpose of Timarron Family Medicine PA is to offer comprehensive medical care to individuals and families, ensuring access to necessary health services and promoting overall wellness.
The information that must be reported typically includes patient identification, medical history, current medications, allergies, and insurance details.
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