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basinclinic.com

Basin Clinic

379 N 500 W. Vernal, Utah 84078. Hours: Monday through Thursday from 8:00 am - 5:00 pm. Friday 8:00 am - 12:00 pm. Content on this page requires a newer version of Adobe Flash Player. What payment methods are available? We accept most private insurance plans, Medicare and Medicaid, as well as cash, checks, and credit cards. IUD, Implanon, Tubal Ligation and Vasectomy. Lung - Heart Disease. Office - Minor Surgery. Pap Smears - Colonoscopy. Acne, Wart and Mole Removal. Trauma - Fractures - Lacerations.

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CONTACTS AT BASINCLINIC.COM

Monique Workman

379 N.●●●●●●. STE1

Ve●●al , Utah, 84078

United States

1.43●●●●1165
ba●●●●●●●●●@gmail.com

View this contact

Monique Workman

379 N.●●●●●●. STE1

Ve●●al , Utah, 84078

United States

1.43●●●●1165
ba●●●●●●●●●@gmail.com

View this contact

Monique Workman

379 N.●●●●●●. STE1

Ve●●al , Utah, 84078

United States

1.43●●●●1165
ba●●●●●●●●●@gmail.com

View this contact

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Basin Clinic | basinclinic.com Reviews
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379 N 500 W. Vernal, Utah 84078. Hours: Monday through Thursday from 8:00 am - 5:00 pm. Friday 8:00 am - 12:00 pm. Content on this page requires a newer version of Adobe Flash Player. What payment methods are available? We accept most private insurance plans, Medicare and Medicaid, as well as cash, checks, and credit cards. IUD, Implanon, Tubal Ligation and Vasectomy. Lung - Heart Disease. Office - Minor Surgery. Pap Smears - Colonoscopy. Acne, Wart and Mole Removal. Trauma - Fractures - Lacerations.
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2 clinic
3 basin clinic
4 urgent care
5 lasercare
6 staff members
7 services
8 helpful information
9 most popular links
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Basin Clinic | basinclinic.com Reviews

https://basinclinic.com

379 N 500 W. Vernal, Utah 84078. Hours: Monday through Thursday from 8:00 am - 5:00 pm. Friday 8:00 am - 12:00 pm. Content on this page requires a newer version of Adobe Flash Player. What payment methods are available? We accept most private insurance plans, Medicare and Medicaid, as well as cash, checks, and credit cards. IUD, Implanon, Tubal Ligation and Vasectomy. Lung - Heart Disease. Office - Minor Surgery. Pap Smears - Colonoscopy. Acne, Wart and Mole Removal. Trauma - Fractures - Lacerations.

INTERNAL PAGES

basinclinic.com basinclinic.com
1

Basin Clinic - Medical Records Release

http://www.basinclinic.com/forms/wcomp.php

Physician’s Initial Report of Work Injury or Occupational Disease. This report must be filed pursuant to rule R568-2-3-(A). For your protection Utah law requires notification that nay workers’ compensation fraudulent claim for disability compensation or medical benefits is a crime and may be subject to fines and confinement in the sate prison. Industrial Commission - Industrial Accidents Division. 160 East 300 South 3rd Floor, P.O. Box 146610, Salt Lake City, Utah 84114-6610. Do Not Use This Space. No If...

2

Basin Clinic

http://www.basinclinic.com/index.php

379 N 500 W. Vernal, Utah 84078. Hours: Monday through Thursday from 8:00 am - 5:00 pm. Friday 8:00 am - 12:00 pm. Content on this page requires a newer version of Adobe Flash Player. What payment methods are available? We accept most private insurance plans, Medicare and Medicaid, as well as cash, checks, and credit cards. IUD, Implanon, Tubal Ligation and Vasectomy. Lung - Heart Disease. Office - Minor Surgery. Pap Smears - Colonoscopy. Acne, Wart and Mole Removal. Trauma - Fractures - Lacerations.

3

Basin Clinic - OB Packet

http://www.basinclinic.com/forms/obp.php

Basin Clinic Urgent Care Center. Chief Complaint/Reason For Visit:. Responsible Party S.S.#:. Guardian (if patient is under 18):. Do you have a regular physician you would like a copy of this visit sent to? In accordance with the Federal Truth-In-Lending Act, all doctors are required to give their patients complete information in connection with the extension of credit. If You Don’t Have Insurance:. If You Have Insurance:. You will receive an itemized monthly statement until your bill is paid in full whe...

4

Basin Clinic

http://www.basinclinic.com/index.php?content=urgent

475 N 500 W. Vernal, Utah 84078. Hours: Monday through Friday from 8:00 am - 9:00 pm. Saturday 9:00 am - 6:00 pm. Karl Breitenbach, M.D. Michael Olsen, M.D. Kirk Woodward, M.D. Rodney Anderson, M.D. Sarah Woody, FNP. Joe Porter, PA. Michael Wilson, PA. Walt Wootton, PA. Fever - Cough - Sore Throat. Lacerations - Fractures - Sprains. Pre-Employment, Scout, Sports, School, D.O.T., Wellness. Do I need an appointment? No appointment is necessary. All patients are seen on a "walk-in" basis. 1 435 789 1165.

5

Basin Clinic - Medical Records Release

http://www.basinclinic.com/forms/mrr.php

Request/ Release of Medical Records. 379 N 500 W. STE 1A. Vernal, UT 84078. I authorize Basin Clinic to: (please check one). Release Medical Records to:. Request Medical Records From:. Name of Physician / Organization. Complete Address ( REQUIRED. Record Dates for Copying. I understand my rights under HIPPA guidelines, and that the information to be released may contain information regarding:. Drug or Alcohol Abuse, if any. Psychological or Psychiatric Conditions, if any. Signature of Parent or Guardian.

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Outside Resources - Uintah High School Counseling

http://uintahcounseling.weebly.com/outside-resources.html

Uintah High School Counseling. Engaging and In-demand Careers. Utah State University Writing Center. Is available through USU Uintah Basin for students taking USU classes. They are available Monday-Thursday from 3:30pm-8pm. No appointment is necessary. Uintah basin usu writing lab.pdf. Https:/ www.khanacademy.org/. Free academic tutoring online. NCAA High School Registration. You must be registered to play college sports -. Http:/ web1.ncaa.org/ECWR2/NCAA EMS/NCAA.jsp. 133 S 500 E, Vernal, UT 84078.

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Basin Clinic

379 N 500 W. Vernal, Utah 84078. Hours: Monday through Thursday from 8:00 am - 5:00 pm. Friday 8:00 am - 12:00 pm. Content on this page requires a newer version of Adobe Flash Player. What payment methods are available? We accept most private insurance plans, Medicare and Medicaid, as well as cash, checks, and credit cards. IUD, Implanon, Tubal Ligation and Vasectomy. Lung - Heart Disease. Office - Minor Surgery. Pap Smears - Colonoscopy. Acne, Wart and Mole Removal. Trauma - Fractures - Lacerations.

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