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2016 Preventive Medicine Annual Meeting Registration Form I First Name: Last Name: Degree’s): MD MPH DO PhD *Are you a physician? FA CPM Other: Yes No NEW 2016 INSTRUCTIONS *Emergency Contact Name×Number:

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1. In order to fill out the facpm oformr yes no, you will need to have the form in front of you. Make sure you have a pen or pencil handy to fill in the required information.
2. The first step is to carefully read through the form and understand what each section is asking for. This will help prevent any mistakes or confusion during the filling out process.
3. Start by providing your personal information, such as your full name, address, and contact details. These details are important for identification purposes.
4. The next step is to review the questions listed on the form. Answer each question by marking either "yes" or "no" in the designated checkboxes or spaces provided. Be sure to answer accurately and truthfully.
5. If you come across any questions that you are unsure about or need further clarification, it's advisable to consult a professional or seek guidance from the form issuer.
6. Once you have answered all the questions, carefully review your responses to ensure they are correct and complete. Double-check for any errors or omissions that may need to be corrected.
7. Finally, sign and date the form at the designated area, if required. This signature serves as your acknowledgment and agreement to the information provided.
8. Now, onto the question of who needs the facpm oformr yes no. This form may be required in various situations, such as job applications, insurance claims, medical consent forms, or legal agreements. It is typically needed by individuals who are involved in a particular process that requires a clear confirmation of their yes or no responses to certain questions.
9. Keep in mind that the specific requirements for this form may vary depending on the organization or institution requesting it. It's always a good practice to confirm with the relevant authority to ensure you have the most up-to-date and accurate information.

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