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K Name: Last First M.I. Address: Street Apt# Dr. Perry Guy ton, D.C. Nichole Dawson, LMP Crystal Jonathan, LM 406 SE 131st Ave., Suite 108 Vancouver, WA 98683 Phone: 3609440050 Fax: 3608851212 Email:
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Start by downloading the intake form from the website or obtaining a physical copy from the relevant authority.
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In case the form asks for references or emergency contact information, provide the names, relationships, and contact details of the individuals requested.
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If there are any required signatures, sign the form in the designated areas.
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Keep a copy of the filled-out intake form for your records before submitting it to the designated recipient, whether that be through mail, email, or in person.
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