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Harbor Pediatrics Medical Group, APC601 Dover Drive, Suite 7, Newport Beach, CA 92663
Patient Demographic Information
Please list all your children's Legal Names:
__________________Last Name___
Last
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Obtain a copy of the Harbor Pediatric - 601 form.
02
Fill in your personal information such as name, date of birth, and contact information.
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Provide information about your child including their name, age, and any medical conditions they may have.
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Who needs harbor pediatric - 601?
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Parents or legal guardians of children who are receiving pediatric medical care at Harbor Medical Center.
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What is harbor pediatric - 601?
Harbor Pediatric - 601 is a form used for reporting certain information regarding pediatric patients.
Who is required to file harbor pediatric - 601?
Healthcare providers who treat pediatric patients are required to file Harbor Pediatric - 601.
How to fill out harbor pediatric - 601?
Harbor Pediatric - 601 can be filled out online or by submitting a physical form with the required information.
What is the purpose of harbor pediatric - 601?
The purpose of Harbor Pediatric - 601 is to gather data on pediatric patient treatments for research and analysis.
What information must be reported on harbor pediatric - 601?
Harbor Pediatric - 601 requires information such as patient demographics, diagnosis, treatment provided, and outcomes.
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