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Patients Name: ___Date of Birth: ___Address: ___City: ___ Zip:___ Patients Phone: (Home) ___ (Cell) ___ (Work) ___***Please Send a Copy of All Insurance Information With This Form***Diagnostic Sleep
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Patients phone home cell refers to the mobile phone number of a patient that is collected for communication and record-keeping purposes.
Healthcare providers and institutions that collect patient information are required to file patients phone home cell.
Patients or authorized personnel should fill out the patients phone home cell by providing the mobile phone number in the designated field on the patient intake form.
The purpose of patients phone home cell is to facilitate communication between healthcare providers and patients regarding appointments, treatment updates, and emergencies.
The phone number itself and any relevant patient consent regarding communication preferences must be reported.
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