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Montgomery Endocrinology LLC Rockville MD Ph: 3012510662, Fax: 3012517703 Monika Mannan MD Page 1PATIENT REGISTRATION NAME: ___ Date of Birth:___Age:___ Home Address:___ City:___State:___ ZIP:___
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Gather your personal information including your medical history and a list of medications you are currently taking.
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Obtain referral documents if required by your insurance provider or physician.
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Complete any pre-visit questionnaires provided by the clinic, including information about your symptoms and health concerns.
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Individuals with diabetes or prediabetes who require management and monitoring.
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Patients with thyroid disorders, including hypothyroidism and hyperthyroidism.
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Patients seeking specialized care for adrenal disorders.
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Those with growth disorders or pituitary gland issues.
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Montgomery Endocrinology Endocrine Care refers to specialized medical services focused on the diagnosis and treatment of endocrine system disorders, which include hormone-related conditions.
Patients dealing with endocrine disorders, healthcare providers managing such conditions, and entities that need to comply with specific health regulations related to endocrine care may be required to file.
To fill out Montgomery Endocrinology Endocrine Care forms, gather patient information, medical history, and details about the specific endocrine condition, then follow the prescribed format provided by the care center or regulatory body.
The purpose of Montgomery Endocrinology Endocrine Care is to provide comprehensive management and treatment for patients with endocrine disorders, ensuring proper hormonal balance and overall health.
Information that must be reported includes patient identification details, diagnosis, treatment plans, medication prescriptions, and follow-up care instructions.
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