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Christy D. Houses, Ph.D., LLC 4425 Fremont Avenue N., Seattle, WA 98103 t: 206.257.7861 e: info drchristyhofsess.com www.drchristyhofsess.com INTAKE QUESTIONNAIRE Date: NAME: SSN: DOB: ADDRESS: AGE:

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What is download form bintake questionnaireb?

Download form bintake questionnaireb is a document used to gather information about a specific intake process.

Who is required to file download form bintake questionnaireb?

Individuals or organizations involved in the intake process are required to file download form bintake questionnaireb.

How to fill out download form bintake questionnaireb?

Download form bintake questionnaireb can be filled out by providing accurate information about the intake process in the designated fields.

What is the purpose of download form bintake questionnaireb?

The purpose of download form bintake questionnaireb is to collect essential information related to the intake process.

What information must be reported on download form bintake questionnaireb?

Information such as the date of intake, intake location, intake personnel, and intake procedures must be reported on download form bintake questionnaireb.

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