Field 5 - Patient's Address (multiple fields)
Posted by Dan Perrine, Last modified by Dan Perrine on 28 March 2018 05:32 AM
|
|
Field 5 - The “Patient’s Address” is the patient’s permanent residence. A temporary address or school address should not be used. INSTRUCTIONS: Enter the patient’s address. The first line is for the street address; the second line, the city and state; the third line, the ZIP code. MEDICARE - Enter the patient's mailing address and telephone number. On the first line enter the street address; the second line, the city and state; the third line, the ZIP code and phone number. | |
|