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THE PREMIER PPEC CENTER
PARENTS CHOICE
MEDICAL DAYCARE
3 EASY WAYS TO REFER / ENROLL
1
CALL US AND WE WILL BE HAPPY TO ASSIST YOU
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MAKE SURE YOU HAVE THE CHILD'S MEDICAL & INSURANCE INFO AVAILABLE (PRIVATE PAY ACCEPTED)
2
EMAIL US AND WE WILL CONTACT YOU BACK
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MAKE SURE TO INCLUDE THE CHILD'S:
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FULL NAME & DATE OF BIRTH
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HOME ADDRESS & PHONE NUMBER
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CAREGIVER'S NAME & RELATION TO CHILD
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CAREGIVER'S WORK SCHEDULE
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PEDIATRICIAN'S NAME & PHONE NUMBER
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PRIMARY DIAGNOSIS & RELATED CONDITIONS
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INSURANCE COMPANY NAME & ID NUMBER
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BRIEF DESCRIPTION OF YOUR CHILD'S NEEDS NURSING, THERAPIES, ACTIVITIES OF DAILY LIVING
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3
ASK THE CHILD'S DOCTOR, HOSPITAL DISCHARGE PLANNER, SOCIAL WORKER, or INSURANCE CASE MANAGER TO CALL US TODAY 561.810.1999
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CONTACT ANY OF THE CHILD'S DOCTORS
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PEDIATRICIAN (PRIMARY DOCTOR)
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PULMONOLOGIST (LUNG DOCTOR)
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GASTROENTEROLOGIST (GI/TUBE FEED DOCTOR)
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CARDIOLOGIST (HEART DOCTOR)
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NEUROLOGIST (BRAIN/SEIZURE DOCTOR)
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NEPHROLOGIST (KIDNEY/DIALYSIS DOCTOR)
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HEMATOLOGIST/ONCOLOGIST (BLOOD DOCTOR)
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ANY DOCTOR OR SURGEON CAN REFER TO US
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REFER / ENROLL NOW
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