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Client Name: Client Age: Date Completed: Reason for Seeking Treatment: Rate Intensity of Presenting Problem: 1 2 3 4 5 6 7 8 9 10 During the past TWO WEEKS, how much or how often have you been bothered

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How to fill out client name - north

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03

Enter the client's full name in the field

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Who needs client name - north?

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Individuals who are filling out a client form related to the northern region

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Organizations or businesses operating or providing services in the northern part of the target location

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Client name - north is the name of the specific client identified as 'north'

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