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CONTACT: Dr. Shandong Lu, MD, PhD 1180 S. Mt. Shasta Blvd., Unit B Mt. Shasta, CA 96067 Phone: 5309261000 Fax: 5309263537 Email: intake drlumd.com Website: www.drlumd.com PATIENT INTAKE FORM Welcome
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What is new-intake-form?
New-intake-form is a document used to collect information from individuals who are newly entering a system or organization.
Who is required to file new-intake-form?
All individuals who are new to a system or organization are required to file a new-intake-form.
How to fill out new-intake-form?
New-intake-form can be filled out by providing accurate and complete information as requested on the form.
What is the purpose of new-intake-form?
The purpose of new-intake-form is to gather necessary information about individuals who are entering a system or organization for record-keeping and processing purposes.
What information must be reported on new-intake-form?
Information such as personal details, contact information, background information, and any other relevant details must be reported on new-intake-form.
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