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708 Alhambra Blvd., Suite 2 Sacramento, CA 95816 Phone: (916) 4929007 MiddleWayHealth.com Intake Questionnaire Name(s) Date Dependents/Minors Names (if in treatment) Age Age Age Address City Zip Home
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mwh intake formsdocx is a document used to collect information regarding energy consumption and usage.
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Any entity or individual that consumes energy and needs to report their usage.
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Information such as energy consumption levels, usage patterns, types of energy sources used, and any other relevant data.
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