Important Document Upload
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First Name
Last Name
Email
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example@example.com
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Insurance Card
EOB
Denial Letter
Discharge Paperwork
Referral/Authorization
Medication List
Other
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Please upload only documents relevant to your request. Do not upload emergency information. If you are experiencing a medical emergency, call 911 or seek immediate care.
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Consent & Acknowledgment: I understand that SereniPath provides non-medical patient advocacy and administrative support only. I acknowledge that this upload is not for medical emergencies, diagnosis, or treatment, and I consent to being contacted regarding the information submitted.
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