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CONFIDENTIAL HEALTH INFORMATION Please allow our staff to photocopy your photo ID and insurance card(s). All information you supply is confidential. INITIAL INTAKE FORM Today's Date (MM/DD/YYY) Patient
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Please allow our staff refers to giving our staff members the time and space needed to complete their tasks without interruptions.
All employees and supervisors are required to ensure that our staff is allowed the necessary time and resources to perform their job effectively.
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