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REGISTRATION FORM Today's date: PCP: PATIENT INFORMATION Patients last name: First: Is this your legal name? Yes Middle: If not, what is your legal name? Mr. Mrs. Marital status (circle one) Miss
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01
Gather the necessary information: Start by collecting all the required details for the registration form. This may include personal information such as name, address, contact number, and email. Additionally, specific society-related information may be needed, like membership details or association affiliations.
02
Follow the provided instructions: Read the instructions or guidelines provided along with the registration form. These instructions may include details about the required format, supporting documents, or any specific instructions for filling out the form correctly.
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Provide accurate information: Fill in the registration form with accurate and up-to-date information. Double-check for any spelling mistakes or errors that could lead to incorrect information being recorded.
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Attach supporting documents, if necessary: Certain societies may require supporting documents to be attached along with the registration form. These documents might include identification proof, proof of membership, or any other relevant documents specified by the society.
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Review the filled form: Take a moment to carefully review all the information filled in the registration form. Ensure that all details are accurate, complete, and legible. Correct any errors or missing information before submitting the form.
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