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    • [DOCX File]FL Agency for Health Care Administration

      https://info.5y1.org/florida-medical-clinic-family-practice_1_879f13.html

      A person who knowingly submits a false, misleading, or fraudulent application or other document when applying for licensure as a health care clinic, seeking an exemption from licensure as a health care clinic, or demonstrating compliance with part X of chapter 400, Florida Statutes, with the intent to use the license, exemption from licensure ...

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    • [DOC File]Patient Update - ACP

      https://info.5y1.org/florida-medical-clinic-family-practice_1_393ce0.html

      8) Has anything changed with the health of your family members (including parents, siblings, or children)? Yes  No  If yes, please list: _____ 9) Do you regularly use: Seat belts. Sometimes  Always  N/A  Car seats for children in your car. Sometimes  Always  N/A 

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    • [DOC File]Sample Letter for Closing Your Medical Practice

      https://info.5y1.org/florida-medical-clinic-family-practice_1_5a2706.html

      I am including a medical record request form that requires your signature and identification of the physician selected. Once my office receives the form, a copy of your records will be transferred within 15 days. (Insert if appropriate – if you choose to remain with my medical group/Dr. xyz who bought my practice then no request is necessary).

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    • [DOCX File]15x3jjtpmab236mgs1dzkxkl-wpengine.netdna-ssl.com

      https://info.5y1.org/florida-medical-clinic-family-practice_1_8abcf8.html

      Welcome to Internal Medicine & Pediatrics at Florida Medical Clinic. We are honored that you have chosen us as your health care provider. Our doctors Allison Hull, DO Alyssa Zwarych, MD and Veronica C. Davis, DO are uniquely trained in both Internal Medicine and Pediatrics. They are specialists for both children and adults.

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    • [DOCX File]Checklist Before Closing or Retiring from Practice

      https://info.5y1.org/florida-medical-clinic-family-practice_1_b297cb.html

      – Nothing raises more questions when closing a practice than what to do with the medical records. It is important to remember that the physical record (whether paper or electronic) is the property of the practice and the information in the record is the property of the patient. Thus the patient is entitled to obtain

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