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Patient Name: DOB: Male Female Patient Address: City/State/Zip: Patient Phone: (Home) (Cell) Contact/Caregiver: Contact/Caregiver Phone: Primary contact: Patient Caregiver Requested Carefully Start
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cusershamblebedesktop culture simplified 8000 is a simplified cultural questionnaire form used for assessing cultural influences.
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cusershamblebedesktop culture simplified 8000 requires information about cultural practices, beliefs, traditions, and experiences.
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