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***Please initial and sign the items on the back of this page.*** All Better Pediatrics, PC 2015 Patient Information Sheet New Patient Established Patient Update Patient Name (Line 1)Nickname 1. 2.
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Please initial and sign refers to the act of confirming your agreement or approval by initialing and signing a document.
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The purpose of please initial and sign is to ensure that individuals have confirmed their agreement or approval of a document by adding their initials and signature.
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The information reported on please initial and sign typically includes the date, name of the individual, and their confirmation of agreement or approval.
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