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PATIENT REGISTRATION PATIENT INFORMATION Name: (Last) (First) (Middle Initial) (Nickname) Mailing Address: (Street/PO Box) (Apt./Unit #) Home Phone: (City) Work Phone: (State) Ext. #: Sex: M F Social
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How to fill out mailing address

01
Start by writing your full name in the first line of the mailing address.
02
Next, write your house/ building number and street name on the second line.
03
On the third line, write the name of your city or town.
04
Include your state or province name on the fourth line.
05
Write the ZIP or postal code on the fifth line.
06
Finally, include the country name on the last line.

Who needs mailing address?

01
Anyone who wants to receive mail or packages at a specific location needs a mailing address.
02
Businesses often use mailing addresses to receive customer correspondence and packages.
03
Individuals living in different cities or countries may need a mailing address to receive mail from their home location.
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People who frequently move or travel may also benefit from having a consistent mailing address.
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International travelers may need a mailing address to receive important documents or packages while abroad.
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Mailing address is the address where postal mail is delivered to a person or organization.
Anyone who wants to receive mail at a specific address or location is required to file a mailing address.
Mailing address can be filled out on a form provided by the postal service or by updating your address online.
The purpose of a mailing address is to ensure that postal mail is delivered to the intended recipient or location.
A mailing address typically includes the recipient's name, street address, city, state, and zip code.
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