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Toledo Ohio Form 8862: What You Should Know

D. And social security number (if different from your credit card number). After you are on campus, a medical provider will assess your need on a 1-to-5 scale. You will be asked to complete a medical form and register your medical needs. If you don't have an ID on file at the time of your appointment, please bring your current driver's license and a copy. Once your medical needs are registered with UW Hospitals, you will be able to check in to your treatment room with your medical provider (this is your time to get familiar with procedures and procedures in the ED). If you need to call and schedule an appointment later, just give the operator your provider number and phone number as they will be able to connect you to your appointment time. If you have concerns regarding anything in the emergency department, please call 1-877.846.HOSPITAL or the 911 operator. There are an unprecedented number of reports of sexual assaults and other sexual abuse at this institution this semester. Please be aware that students, staff and visitors should not hesitate to report a sexual assault to police at this center. As a resident of our emergency department, you are able to access vital health care services to assist you in recovering and returning to class. Medical and surgical services include surgery, emergency dental care, and medication prescriptions. MEDICAL AND SURGICAL SERVICES  Emergency department services: Diagnosis & treatment for acute illness & injury. Referrals to other medical care programs. Emergency care of acute medical conditions. Referrals to other clinical care programs, including: Primary care: Care provided by a resident physician. A visit to the primary care physician will not exceed 2 hours. Services include: Diagnosis, treatment and advice regarding common conditions, and counseling. Specialty care: Care provided by a physician specializing in a special medical specialty. Services include: Diagnosis, treatment and advice regarding Common Conditions, and counseling. Emergency care of acute medical conditions. Referrals to other clinical care programs, including: Emergency care of acute medical conditions. Referrals to other clinical care programs, including; Ophthalmology: Care provided by ophthalmologist or optometrist at a campus clinic. Tuberculosis treatment, medical supplies, laboratory tests, pain management, and surgical procedures will also be provided at this center.

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