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Patient Birth Name Date Responsible Social Party Name Security Number Date Relationship to Patient Home Phone Cell Phone Address City State Zip Employer Name Work Phone How long have you lived at this address Years Months Please list addresses for the last 12 months Address City State Zip From Month/Year Spouse Spouse Social Home Phone Cell Phone Work Phone Spouse Employer Name Additional Household Members Name Birth Date Household Monthly Income.

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and Intermountain Healthcare announce the implementation of iCentra, a model electronic health record (EHR), practice management and revenue cycle system, at two Intermountain hospitals and 24 clinics across northern Utah.

Our Mission Helping people live the healthiest lives possible®

Helping people live the healthiest lives possible® Excellence: We perform at the highest level, always learning and looking for ways to improve. Accountability: We accept responsibility for our actions, attitudes, and health. Mutual Respect: We embrace diversity and treat one another with dignity and empathy.

Our Mission is helping people live the healthiest lives possible®, a lifelong pursuit. Our Clinical Programs determine how we can best help our patients before, during, and after they are in our care.

What is a mission statement in healthcare? A mission statement in healthcare is a short statement that summarizes the commitments of your hospital or practice to achieve a higher vision. Think of your mission statement as an actionable ladder to climb so you can achieve your greater goal.

Intermountain Healthcare serves the healthcare needs of people across the Intermountain West and beyond. We are an integrated, nonprofit health system with headquarters in Salt Lake City, Utah, with a focus on providing high quality care that is accessible and affordable to all.

Mission statements describe an organization's reason for existence, vision statements describe the ideal state that the organization wants to achieve, and values statements list the principles that guide and direct the organization and its culture.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232