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CONFIDENTIAL CLIENT INFORMATION Today's Date Clients Name Date of Birth Address City State Zip Home Phone Work Phone Cell Phone What phone number and/or who may we leave messages with Email Address

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What is intake bformsb - life?

Intake bformsb - life is a form used to collect information about a person's lifestyle and habits that may impact their health and well-being.

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The purpose of intake bformsb - life is to help healthcare providers assess a person's overall health and well-being and provide appropriate care and interventions.

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Information such as dietary habits, exercise routines, smoking and drinking habits, medical history, and family health history should be reported on intake bformsb - life.

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