Dear ser inat ello, Thank you for registering at the City-Data Forum. Before we can activate yo= ur account one last step must be taken to complete your registration. Please note - you must complete this last step to become a registered membe= r. You will only need to visit this URL once to activate your account. To complete your registration, please visit this URL: http s://www .city-data.com /forum/re gister. php?a=3Dact& u=3D241 0010&i=3 D362572= 85 &i=3D3625 7285>Am erica On line Users Please Visit Here to be Activa ted **** Does The Above URL Not Work? **** If the above URL does not work, please use your Web browser to go to: Please be sure not to add extra spaces. You will need to type in your usern= ame and activation number on the page that appears when you visit the URL. Your U sern ame is: se rinat ello Yo ur A ctiva tion I D is: If you are still having problems signing up please contact a member of our = supp ort staff at All the best, Ci ty-Da ta Fo rum Dear (r) Rachelarnold121, Registered Company Name: Trading Name: Registration Number: Registration Date: Business Type: (Pty) Ltd CC (Close Corporation) T/A (Sole Proprietor) Partnership Other Specify: VAT Registration Number: Physical Address: Code: Postal Address: Code: Telephone No: ( ) Facsimile No: ( ) Mobile No: Email Address: Approximate Monthly Purchase Amount: Finance Contact: Contact Number: ( ) Email Address: Banking Details: Name of Bank: Branch Code: Account Number: Trade References: Company Telephone Contact Credit Limit 1. ( ) R 2. ( ) R 3. ( ) R Cardinal Station Newburg Center for Primary Care
215 Central Avenue, Suite 100 1941 Bishop Lane, Suite 900 215 Central Avenue, Suite 205
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I:\FCM\Phyllis Harris\Forms\New Patient Pkg Components
UofL Department of Family & Geriatric Medicine
Dear New Patient,
Welcome to your University of Louisville Physicians Family practice! We
are offering patient-centered medical care and are enthusiastic about our
relationships with our patients. In order to better serve your needs, we are
enclosing several forms and ask that you completely fill each form out.
The first sheet will help us learn more about you; please completely fill out this
form about your family history. The next sheet is titled, âAuthorization for the
use and/or Disclosure of Protected Health Informationâ, and you will need to
completely fill that out for our doctors to treat you to the best of their ability; it
gives us permission to review your medical records from your previous primary
medical facilities.
Following, please completely fill out the Registration, Social Services & Consent
Form. Next, you will find our Privacy Notice, followed by an acknowledgement that
you have received and understand our Privacy Policies. Finally, the last form is the
Office Acknowledgements and Policies form. Please read carefully and sign
your name at the bottom of the letter.
Please make sure to bring all of these forms with you to your first office visit.
Do not mail them back to the office. Also, please remember to always
bring your picture ID, current insurance cards and your co-payment. If your
health insurance requires you to select a primary care doctor please do so prior to
your office visit. Please bring in any and all medication you take, in their
original bottles, to your appointment.
If the patient is under 18 years of age he or she must be accompanied by an
adult and will need to bring a copy of their current immunization certificate.
Please arrive 15 minutes ahead of your scheduled appointment time so that if
you have questions about these forms or we need more information, we can
a ddress it all prior to your appointment.
We look forward to seeing you!
University of Louisville Physicians
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The specter of a mutiny in one of the world's largest, nuclear-armed superpowers still seemed to prove less scary than rising interest rates, at least on Wall Street. U.S. stocks started off Monday with relatively strong gains, after what looked like an aborted coup attempt in Russia. The Wagner paramilitary group was headed for Moscow before a brokered truce over the weekend halted the offensive. Russian President Vladimir Putin and his allies spent Monday trying to project an image of control and return to normal life. But many questions remain - including the whereabouts of Wagner leader and one-time Putin confidante Yevgeny Prigozhin. But most of the market's gains didn't hold. Investors quickly shifted focus to more commonplace worries, such as inflation and growth prospects. A meeting of global central bankers in Portugal this week for the European Central Bankâs annual forum may provide clues about how interest rates may trend around the world. 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