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Circle of life family medicine

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The document is a comprehensive registration and consent form for patients at Circle of Life Family Medicine, managed by Charity Moses, FNP. It includes sections for personal information, insurance details, cancellation policies, medication refill procedures, financial responsibilities, patient rights and responsibilities, and privacy regulations. The form emphasizes the importance of timely communication regarding appointments and medication refills while outlining the clinic's policies on treatment consent and patient confidentiality.

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Versions	Form popularity	Fillable & printable
2017	4.3 Satisfied (36 Votes)

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