Meridianinternalmed.com

Meridian Internal Medicine

WEBPhone number: (336) 633-3073. Fax number: (336) 633-3074

Actived: 2 days ago

Meridian Internal Medicine

WEBPlease call for fee for service rates. As plans change frequently, you should contact your insurance company to make sure Dr. Prochnau is an in-network provider and that the …

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Meridian Internal Medicine

WEBDr. Prochnau graduated summa cum laude with a Bachelor of Arts degree in psychology from UNC-Charlotte in 1994 and then received her Doctor of Medicine degree from UNC …

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HEALTH HISTORY QUESTIONNAIRE

WEBAs a Medicare patient (if applicable), I hereby authorize payment of all claims filed by the above referenced provider of healthcare services, which are otherwise payable to me.

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Patient Bill of Rights and Responsibilities

WEBReviewed:(February(2015((((( ( ( 1((Patient Bill of Rights and Responsibilities Meridian Internal Medicine, P.A. Meridian Internal Medicine, P.A. views health care as a partnership.

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Meridian Internal Medicine

WEBMeridian Internal Medicine, PA. Caroline C. Prochnau, MD . 306 North Cox Street. Asheboro, NC 27203 . 336-633-3073 | TDD/TYY equipped

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HEALTH HISTORY QUESTIONNAIRE

WEBSedentary (No exercise) Mild exercise (i.e., climb stairs, walk 3 blocks, golf) Occasional vigorous exercise (i.e., work or recreation, less than 4x/week for 30 min.)

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(Name of Procedure)

WEBTELEMEDICINE Telemedicine lets a doctor or other healthcare provider care for you, even when you cannot see him or her in person. Telemedicine is more than a phone call, an …

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TERMS OF USE OF THE PATIENT PORTAL

WEBTERMS OF USE OF THE PATIENT PORTAL. THE PURPOSE OF THE PATIENT PORTAL. The Patient Portal is a web-based system that is available to you 24 hours a …

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Health Risk Assessment Name: Questionnaire Date

WEBHealth Risk Assessment Questionnaire How would you rate your health in general? Excellent Very good Good Fair Poor How have things been going for you during the past

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PATIENT MEDICAL HISTORY Meridian Internal Medicine, P.A.

WEBSocial History Coffee/Tea: cups or glasses per day: _____ Occupation: _____ Marital Status: Single Married (spouse’s name/age: _____) Divorced Separated Widowed

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Meridian Internal Medicine, PA Financial Policy

WEBMeridian Internal Medicine, PA Financial Policy. In order to reduce confusion and misunderstanding, we have adopted the following financial policy.

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HEALTH HISTORY QUESTIONNAIRE

WEBName of the Drug. Reaction you had to the medication. HEALTH HABITS AND PERSONAL SAFETY. Exercise. Sedentary (No exercise) Mild exercise (i.e., climb stairs, walk 3 …

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meridianinternalmed.com

WEBMeridian Internal Medicine, PA Financial Policy. In order to reduce confusion and misunderstanding, we have adopted the following financial policy. We regard your …

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