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240 Hospital Place Suite #103
Bologna, AK 99669
Tel: (907)2605455 Fax: (907)7143111
intake@kenaispine.com
Orthopedic Spine Surgeons
Steven C. Humphreys, M.D.
John Andrea, M.D.
Physician Assistant
AUTHORIZATION
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01
Obtain the i authorize kenai spine form from the appropriate source (e.g. doctor's office, hospital, insurance company)
02
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Who needs i authorize kenai spine?
01
Individuals who are seeking medical treatment, procedure, or consultation from Kenai Spine may need to fill out and authorize the i authorize Kenai spine form.
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What is i authorize kenai spine?
i authorize kenai spine is a form used to give permission for medical procedures at Kenai Spine.
Who is required to file i authorize kenai spine?
Patients who are undergoing medical procedures at Kenai Spine are required to file i authorize kenai spine.
How to fill out i authorize kenai spine?
To fill out i authorize kenai spine, the patient must provide their personal information, details of the medical procedure, and sign the form to give consent.
What is the purpose of i authorize kenai spine?
The purpose of i authorize kenai spine is to ensure that patients understand and consent to the medical procedures they are undergoing at Kenai Spine.
What information must be reported on i authorize kenai spine?
Information such as the patient's name, date of birth, details of the medical procedure, risks and benefits, as well as the signature of the patient or guardian must be reported on i authorize kenai spine.
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