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Advanced Heart Care, LLC 4600 Memorial Drive, W3 Belleville, IL 62226 6182228900 Fax 6182228950Authorization to Release Medical InformationPatient Name: ___ DOB:___/___/___ Date of Service: ___ Requested

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How to fill out advanced heart care advanced

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Schedule an appointment with a cardiologist specialized in advanced heart care

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Individuals with complex or advanced heart conditions that require specialized care beyond basic cardiology services

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People with risk factors for heart disease such as high blood pressure, high cholesterol, diabetes, or a family history of heart problems

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Advanced heart care advanced refers to specialized medical treatments and therapies aimed at managing complex heart conditions, utilizing cutting-edge technologies and techniques.

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Healthcare providers who deliver advanced heart care treatment or services are typically required to file advanced heart care advanced.

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The purpose of advanced heart care advanced is to ensure that advanced heart care services are documented appropriately for billing, patient care coordination, and quality assurance.

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Information that must be reported includes patient identification, specific treatments provided, dates of service, and any relevant clinical data.

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