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Adult Registration and Medical Release Client Name Date of Birth (Exactly as appears on Medicare/Insurance card) Address City Apt No. Phone ZIP Social Security Number Race Sex Services Requested I
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Adult client registration is the process of registering a client who is 18 years of age or older for a service or program.
Any organization or individual providing services or programs to adult clients may be required to file adult client registration.
Adult client registration can be filled out online or on paper, depending on the instructions provided by the organization or program.
The purpose of adult client registration is to collect information about adult clients in order to provide them with appropriate services and support.
Information such as name, age, contact information, and any specific needs or requests of the adult client must be reported on adult client registration.
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