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W DERMATOLOGY JAMES G. WU, M.D. 14650 AVIATION BLVD., SUITE 235 MANHATTAN BEACH, CA 90250 TEL: 3106439333 FAX: 3106439337Patient Name (last) ___ (first) ___Age ___ M / F Birthdate ___Home Address
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New patients info amp stands for New Patients Information Amplifier. It is a form used to collect and amplify information about new patients.
Healthcare providers and facilities are required to file new patients info amp for each new patient they see.
New patients info amp can be filled out electronically or manually. It requires basic information about the patient such as name, age, address, medical history, etc.
The purpose of new patients info amp is to ensure that accurate and up-to-date information is collected for each new patient, which helps in providing appropriate medical care.
Information such as patient's name, date of birth, contact information, medical history, insurance details, etc. must be reported on new patients info amp.
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