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Date: Patient Information Name: Last First MI Email address: Mailing Address: City State Zip Phone # (H) (W) Can we call you at work? Yes (Other) No Sex: Male Date of Birth: Married Divorced Female
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Packet - advanced physical refers to a comprehensive physical examination that goes beyond the basic routine checkup.
Individuals who are recommended to undergo a more thorough physical examination by their healthcare provider are required to file packet - advanced physical.
Packet - advanced physical can be filled out by providing detailed information about medical history, current health status, and any specific concerns or symptoms.
The purpose of packet - advanced physical is to assess the overall health and wellbeing of an individual in a more comprehensive manner.
Information such as medical history, current medications, allergies, family history of illnesses, and any recent health concerns must be reported on packet - advanced physical.
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