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Beach Cities Advanced Imaging 510 N. Prospect Ave. Suite 107 Redondo Beach, CA 90277 Telephone: (310) 265-3100 Fax: (310) 265-3115 PATIENT INFORMATION FORM Adelaide: Primer Hombre: Segundo Hombre:
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How to Fill out Beach Cities Imaging:

01
Start by gathering all necessary information and documentation, such as your personal details, medical history, and insurance information.
02
Go to the Beach Cities Imaging website or visit their physical location to obtain the necessary forms for filling out.
03
Begin the form by entering your personal information accurately, including your full name, date of birth, address, and contact information.
04
Provide relevant medical history, including any previous imaging studies or procedures that may be relevant.
05
Indicate the type of imaging study you are requesting or the reason for your visit to Beach Cities Imaging.
06
If you have insurance coverage, provide the necessary details, including the name of your insurance provider and policy number. If you do not have insurance, inquire about their self-pay options.
07
Sign and date the form after reviewing all the information you have provided.
08
Submit the completed form and any accompanying documents to a Beach Cities Imaging representative either in person or through their website.

Who needs Beach Cities Imaging?

01
Individuals who require diagnostic imaging services for medical purposes, such as identifying injuries or illnesses.
02
Patients referred by healthcare professionals who require specialized imaging studies for accurate diagnosis and treatment planning.
03
Individuals seeking preventive screenings, such as mammograms or full-body scans, for early detection of potential health issues.
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Athletes or individuals involved in sports or physical activities who need imaging to assess and monitor injuries or performance-related conditions.
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Individuals with chronic conditions or ongoing healthcare needs that require regular imaging studies for monitoring and treatment evaluation.
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Patients interested in obtaining second opinions or seeking alternative imaging services outside of their regular healthcare providers.
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Individuals who are concerned about their health and well-being and wish to undergo comprehensive or targeted imaging studies for peace of mind or to rule out any underlying issues.
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Beach Cities Imaging is a medical imaging facility that provides services such as x-rays, MRI scans, and ultrasounds.
Patients who have received medical imaging services from Beach Cities Imaging are required to file the necessary paperwork for insurance purposes.
Patients can fill out the necessary forms provided by Beach Cities Imaging either online or in person at the facility.
The purpose of Beach Cities Imaging is to provide accurate and high-quality medical imaging services to patients in need.
Patients must report their personal information, insurance details, and the type of medical imaging services they received at Beach Cities Imaging.
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