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Colorado pulmonary intensivists, pc registration form

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The document is a registration form for Colorado Pulmonary Intensivists, PC, which collects personal, medical, and financial information from patients. It includes sections for patient demographics, emergency contacts, consent for communication regarding healthcare, acknowledgment of privacy practices, and details about insurance coverage. Additionally, it outlines the patient's medical history, current medications, social habits, and rights regarding their health information under HIPAA regulations.

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