Gene J DeMorat, M D 2025

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4.4 out of 5

62 votes

The document is a patient information and consent form from Shore Orthopaedic University Associates, detailing personal, medical, and insurance information required for treatment. It includes sections for patient demographics, medical history, current symptoms, medication allergies, and consent for the use of protected health information. Additionally, it provides instructions for proper disposal of unused medications.

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Versions	Form popularity	Fillable & printable
2023	4.4 Satisfied (62 Votes)
2017	4.2 Satisfied (56 Votes)

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