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TSI form - Texas Stroke Institute 2025

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The document is a patient registration form for the Texas Stroke Institute, collecting essential personal, medical, and insurance information from new patients. It includes sections for demographic details, medical history, current medications, allergies, family history, and a symptom inventory related to neurological conditions. The form also contains consent for treatment and authorization for sharing medical records with referring doctors and insurance companies.

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2010	4.8 Satisfied (125 Votes)

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