Calkins, MD 2025

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The document is a comprehensive patient information form for Joan G. Calkins, MD, located in Hamburg, New York. It collects essential details about the patient, including personal information, family history, insurance data, and emergency contacts. The form also includes authorizations for insurance billing and record release, as well as a vaccine policy statement emphasizing the importance of vaccinations and the practice's stance on unvaccinated children.

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