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2530 Douglas Blvd. Suite 160, Roseville, CA 95661 (916) 784-0110 Print Form Therapist: NAY Life Source, Inc. Roseville, CA — One Intake Form Per Person If high school age or younger/current grade
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Visit the Life Source Inc website or their office location to obtain the necessary forms to fill out.
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Start by providing your personal information, such as your name, address, contact details, and any other requested demographic information.
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Fill out the sections related to your health history and any pre-existing medical conditions, if applicable. Be honest and provide accurate information to ensure the organization can properly assess your eligibility and requirements.
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Life Source Inc. is a non-profit organization dedicated to providing life-saving resources such as blood, organs, and tissues to those in need.
Healthcare facilities, blood banks, and organ procurement organizations are required to file Life Source Inc reports.
To fill out Life Source Inc reports, organizations must provide information on the number of donations received, processed, and distributed.
The purpose of Life Source Inc is to track and report on the life-saving resources provided to patients in need.
Information such as the number of blood donations, organs procured, and tissues distributed must be reported on Life Source Inc.
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