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CONFIDENTIAL PATIENT HEALTH RECORD PATIENT NAME: OFFICE USE ONLY ACCT #: AGE: DOB: EXAM DATE: OCCUPATION: Who referred you to us? What have you heard about Chiropractic care? Previous Care under a
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Start by opening the document or form where the age needs to be filled out.
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What is age?
Age is the number of years a person has lived since birth.
Who is required to file age?
Everyone is required to provide their age when asked, but for official purposes, individuals may be required to file age for tax, legal, or employment documentation.
How to fill out age?
Age can be filled out by simply stating the number of years a person has lived.
What is the purpose of age?
The purpose of age is to provide information about a person's chronological age for various administrative, legal, or statistical purposes.
What information must be reported on age?
The only information required to report on age is the number of years that a person has lived.
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