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Today's Date: / / To be used if patient is a MINOR PATIENT INFORMATION Patient's Name: Preferred Name: Date of Birth: / / Male: Female: Address: City: State: Zip: Parent(s) Names: Mother: Cell Phone:
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What is todays date?
January 15, 2022
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Anyone who needs to keep track of current date for record keeping or reporting purposes.
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Simply write down the current date in the format MM/DD/YYYY.
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What information must be reported on todays date?
Any relevant information that is associated with the current date, such as events, transactions, or deadlines.
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