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sa1s3.patientpop.com · protect your privacy, no confidential or personal information will be sent from Family Medicine and Acute Care of Sandhills via email or text message. Family

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Page 1: sa1s3.patientpop.com · protect your privacy, no confidential or personal information will be sent from Family Medicine and Acute Care of Sandhills via email or text message. Family
Page 2: sa1s3.patientpop.com · protect your privacy, no confidential or personal information will be sent from Family Medicine and Acute Care of Sandhills via email or text message. Family
Page 3: sa1s3.patientpop.com · protect your privacy, no confidential or personal information will be sent from Family Medicine and Acute Care of Sandhills via email or text message. Family
Page 4: sa1s3.patientpop.com · protect your privacy, no confidential or personal information will be sent from Family Medicine and Acute Care of Sandhills via email or text message. Family
Page 5: sa1s3.patientpop.com · protect your privacy, no confidential or personal information will be sent from Family Medicine and Acute Care of Sandhills via email or text message. Family
Page 6: sa1s3.patientpop.com · protect your privacy, no confidential or personal information will be sent from Family Medicine and Acute Care of Sandhills via email or text message. Family
Page 7: sa1s3.patientpop.com · protect your privacy, no confidential or personal information will be sent from Family Medicine and Acute Care of Sandhills via email or text message. Family
Page 8: sa1s3.patientpop.com · protect your privacy, no confidential or personal information will be sent from Family Medicine and Acute Care of Sandhills via email or text message. Family
Page 9: sa1s3.patientpop.com · protect your privacy, no confidential or personal information will be sent from Family Medicine and Acute Care of Sandhills via email or text message. Family
Page 10: sa1s3.patientpop.com · protect your privacy, no confidential or personal information will be sent from Family Medicine and Acute Care of Sandhills via email or text message. Family
Page 11: sa1s3.patientpop.com · protect your privacy, no confidential or personal information will be sent from Family Medicine and Acute Care of Sandhills via email or text message. Family
Page 12: sa1s3.patientpop.com · protect your privacy, no confidential or personal information will be sent from Family Medicine and Acute Care of Sandhills via email or text message. Family
Page 13: sa1s3.patientpop.com · protect your privacy, no confidential or personal information will be sent from Family Medicine and Acute Care of Sandhills via email or text message. Family

sa1s3.patientpop.com · remember to bring with you any insurance cards and communication from a referring doctor. Please plan to arrive 15 minutes prior to your scheduled appointment

sa1s3.patientpop.com · remember to bring with you any insurance cards and communication from a referring doctor. Please plan to arrive 15 minutes prior to your scheduled appointment

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sa1s3.patientpop.com Screening/ Teratology Counseling; Family History; on.com Schedule visits with my Doctor for routine physical exams and other recommended health screeningst

sa1s3.patientpop.com Screening/ Teratology Counseling; Family History; on.com Schedule visits with my Doctor for routine physical exams and other recommended health screeningst

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sa1s3.patientpop.com · Created Date: 6/14/2018 8:57:18 AM

sa1s3.patientpop.com · Created Date: 6/14/2018 8:57:18 AM

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sa1s3.patientpop.com · smoking, and eating a healthy diet. ... religion, physical handicap, or source of payment. You have the right to treatment for any emergency medical condition

sa1s3.patientpop.com · smoking, and eating a healthy diet. ... religion, physical handicap, or source of payment. You have the right to treatment for any emergency medical condition

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sa1s3.patientpop.com · Created Date: 11/14/2018 4:27:20 PM

sa1s3.patientpop.com · Created Date: 11/14/2018 4:27:20 PM

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THE METROPOLITAN NEROSURGERY GROUP PATIENT …sa1s3.patientpop.com/assets/docs/164011.pdfPLEASE LIST ANY CONSERVATIVE TREATMENTS THAT YOU HAVE TRIED SINCE LAST VISIT: PHYSICAL THERAPY:

THE METROPOLITAN NEROSURGERY GROUP PATIENT …sa1s3.patientpop.com/assets/docs/164011.pdfPLEASE LIST ANY CONSERVATIVE TREATMENTS THAT YOU HAVE TRIED SINCE LAST VISIT: PHYSICAL THERAPY:

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HEALTH HISTORY REGISTRATION - sa1s3.patientpop.com · PERIO: ORTHO: ENDO: , ORAL SURG: MD: OTHER: _ NOTES CONSENT The undersigned hereby authorizes the Doctor to take X-rays, study

HEALTH HISTORY REGISTRATION - sa1s3.patientpop.com · PERIO: ORTHO: ENDO: , ORAL SURG: MD: OTHER: _ NOTES CONSENT The undersigned hereby authorizes the Doctor to take X-rays, study

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sa1s3.patientpop.com · 2018. 12. 14. · • POMCO • Screen Actors Guild • UnitedHealthcare • UnitedHealthcare International Dr. Michael Y. Mizhiritsky, MD Participates: •

sa1s3.patientpop.com · 2018. 12. 14. · • POMCO • Screen Actors Guild • UnitedHealthcare • UnitedHealthcare International Dr. Michael Y. Mizhiritsky, MD Participates: •

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Nutrition Guidelines After Surgery - sa1s3.patientpop.com · These are foods/drinks to remove from your diet. They provide lower amounts of protein and They provide lower amounts

Nutrition Guidelines After Surgery - sa1s3.patientpop.com · These are foods/drinks to remove from your diet. They provide lower amounts of protein and They provide lower amounts

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sa1s3.patientpop.com · High Blood Pressure Rheumatic Fever Tuberculosis HIV Cancer: (Type: Medication Allergies Name of Medications Prescription Medications Medication Name Dose

sa1s3.patientpop.com · High Blood Pressure Rheumatic Fever Tuberculosis HIV Cancer: (Type: Medication Allergies Name of Medications Prescription Medications Medication Name Dose

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sa1s3.patientpop.com · Web viewI authorize this practice to submit a claim and, if needed, medical documentation to my insurance company, attorney or other financially responsible

sa1s3.patientpop.com · Web viewI authorize this practice to submit a claim and, if needed, medical documentation to my insurance company, attorney or other financially responsible

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sa1s3.patientpop.com · health and keeping your scheduled appointments allows us to be partners in your dental care.Your appointment is a reservation.We truly appreciate your courtesy

sa1s3.patientpop.com · health and keeping your scheduled appointments allows us to be partners in your dental care.Your appointment is a reservation.We truly appreciate your courtesy

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Untitled-2 [sa1s3.patientpop.com]Untitled-2 Author: Alex Fedoryanskyy Created Date: 11/9/2019 12:34:26 PM

Untitled-2 [sa1s3.patientpop.com]Untitled-2 Author: Alex Fedoryanskyy Created Date: 11/9/2019 12:34:26 PM

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AFFORDABLE HEALTHCARE SERVICES TWO CONVENIENT …sa1s3.patientpop.com/assets/docs/21083.pdfg LOS ANGELES Mary B. Henry Community Clinic 10901 South Vermont Avenue Los Angeles, CA 90044

AFFORDABLE HEALTHCARE SERVICES TWO CONVENIENT …sa1s3.patientpop.com/assets/docs/21083.pdfg LOS ANGELES Mary B. Henry Community Clinic 10901 South Vermont Avenue Los Angeles, CA 90044

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sa1s3.patientpop.com · Web viewDr. Phil, “Inside the World of OCD”, 2012. The role of functional MRI (fMRI) in the diagnosis and treatment of neuropsychiatric disorders including

sa1s3.patientpop.com · Web viewDr. Phil, “Inside the World of OCD”, 2012. The role of functional MRI (fMRI) in the diagnosis and treatment of neuropsychiatric disorders including

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ECTOPIC PREGNANCY - sa1s3.patientpop.com · Causes Women with pre-existing tubal damage are more likely to develop an ectopic pregnancy. In fact, 50 percent of ectopic pregnancies

ECTOPIC PREGNANCY - sa1s3.patientpop.com · Causes Women with pre-existing tubal damage are more likely to develop an ectopic pregnancy. In fact, 50 percent of ectopic pregnancies

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sa1s3.patientpop.com · and constipation — IBS, gluten intolerance, celiac disease, heartburn/acid reflux/GERD and ulcers (peptic ulcers and stomach ulcers), to name a few. A variety

sa1s3.patientpop.com · and constipation — IBS, gluten intolerance, celiac disease, heartburn/acid reflux/GERD and ulcers (peptic ulcers and stomach ulcers), to name a few. A variety

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sa1s3.patientpop.com · & SPORTS MEDICINE RECORDS RELEASE I authorize the release of my medical records to: Performance Orthopaedics & Sports Medicine David B. Dickerson, MD 780 Rt

sa1s3.patientpop.com · & SPORTS MEDICINE RECORDS RELEASE I authorize the release of my medical records to: Performance Orthopaedics & Sports Medicine David B. Dickerson, MD 780 Rt

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sa1s3.patientpop.com · Asthma [2 Emphysema Bronchitis HIV+ Cl Eating Disorder Other: Frequency Arthritis Diabetes: Cl Diet Controlled Pill Controlled C] Insulin Controlled High Blood

sa1s3.patientpop.com · Asthma [2 Emphysema Bronchitis HIV+ Cl Eating Disorder Other: Frequency Arthritis Diabetes: Cl Diet Controlled Pill Controlled C] Insulin Controlled High Blood

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sa1s3.patientpop.com  · Web viewFolic acid also boosts the circulation of blood to the inner structure of the ear, thus keeping the hearing organ (cochlea) healthy. Hearing Loss

sa1s3.patientpop.com  · Web viewFolic acid also boosts the circulation of blood to the inner structure of the ear, thus keeping the hearing organ (cochlea) healthy. Hearing Loss

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sa1s3.patientpop.com · Web viewCancer (what area of body? Migraines Anesthesia Problems COPD (lung disease) Hepatitis Reflux (GERD) Asthma Diabetes High …

sa1s3.patientpop.com · Web viewCancer (what area of body? Migraines Anesthesia Problems COPD (lung disease) Hepatitis Reflux (GERD) Asthma Diabetes High …

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sa1s3.patientpop.com · US ENSURE THE QUALITY OF YOUR CARE EXCELLENT. WE LOOK FORWARD TO WORKING WITH YOU Name :( Last, First, Ml Patient Information ... orthodontic treatment If

sa1s3.patientpop.com · US ENSURE THE QUALITY OF YOUR CARE EXCELLENT. WE LOOK FORWARD TO WORKING WITH YOU Name :( Last, First, Ml Patient Information ... orthodontic treatment If

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JotForm HIPAA Compliance - sa1s3.patientpop.com · audit logs, access reports, and security incident tracking reports. ... NIST800-30 and 800-26 for performing risk analysis. Our

JotForm HIPAA Compliance - sa1s3.patientpop.com · audit logs, access reports, and security incident tracking reports. ... NIST800-30 and 800-26 for performing risk analysis. Our

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sa1s3.patientpop.com to credit approval JHowever, if we do not receive payment from your insurance carrier within 90 days, you will be responsible for payment of your

sa1s3.patientpop.com to credit approval JHowever, if we do not receive payment from your insurance carrier within 90 days, you will be responsible for payment of your

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Welcome [sa1s3.patientpop.com]

Welcome [sa1s3.patientpop.com]

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sa1s3.patientpop.com(Syphilis, Gonorrhea) HIV Positive AIDS Blood Transfusion 7. Are you taking any recreational drugs (marijuana, cocaine, etc.)? Do you have any drug addiction? please

sa1s3.patientpop.com(Syphilis, Gonorrhea) HIV Positive AIDS Blood Transfusion 7. Are you taking any recreational drugs (marijuana, cocaine, etc.)? Do you have any drug addiction? please

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sa1s3.patientpop.com · If you are taking any over-the-counter herbal/alternative medications ... o Shower shampoo your hair within 24 hours of ... For anesthesia related questions

sa1s3.patientpop.com · If you are taking any over-the-counter herbal/alternative medications ... o Shower shampoo your hair within 24 hours of ... For anesthesia related questions

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sa1s3.patientpop.com · 2020. 10. 7. · Famlly and Friends — ... We will continue to protect your private health Informatlon as required by law. ... have prov ded, including contact

sa1s3.patientpop.com · 2020. 10. 7. · Famlly and Friends — ... We will continue to protect your private health Informatlon as required by law. ... have prov ded, including contact

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Full page photo - sa1s3.patientpop.com · Title: Full page photo Author: rgrice Created Date: 9/12/2014 1:20:28 PM

Full page photo - sa1s3.patientpop.com · Title: Full page photo Author: rgrice Created Date: 9/12/2014 1:20:28 PM

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sa1s3.patientpop.com · in relation to other, more traditional, techniques in the treatment of plantar verruca. John E. Mancuso, DPM, FACFS Steven P. Abramow, OPM, FACFS2 he treatment

sa1s3.patientpop.com · in relation to other, more traditional, techniques in the treatment of plantar verruca. John E. Mancuso, DPM, FACFS Steven P. Abramow, OPM, FACFS2 he treatment

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