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Get and Sign Patient Financial Statement UW Health Uwhealth Form

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Separated Divorced Widowed Monthly income received by guarantor and spouse if applicable Gross Full Time Hourly Wage Job Title Monthly Soc. Sec. Income Part Time Net SS Disability SSI SS Retirement SS Survivor Benefit SS Disability SSI SS Retirement SS Survivor Benefit SSDI Applied For Date Pension Pension Rental Income Unemployment Cert of Dep./IRA Other Checking Acct. Avg. Financial Statement Hospital Clinics 301 S. Westfield Rd Suite 120 Madison WI 53717 Physicians 7974 UW Health Ct. Mo...
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Hi welcome to the American Center my name is Amanda I'm the teen life specialist here I'm going to show you a few things that you can expect the day of surgery when you arrive you'll walk through the revolving doors to the left where you'll check in for the day hello the team will give you a name band this will be used many times throughout the day your family will also be given a pager to receive updates throughout your surgery once you're all checked in a patient care tech will show you to your room this is where you'll meet the team taking care of you and while you are here the patient care tech will give you your vitals and have you get dressed into a special surgical gown before your nurse comes to see you okay Nicole this is your nurse they will have a plan and an estimated timeline written on the whiteboard on the door along with the team taking care of you today your nurse will have many questions for you some you will hear several times throughout the day, but they are all ver

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