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Received: Database: Case #: Appalachia Service Project Headquarters: 4523 Bristol Highway, Johnson City, TN 37601 pH: (423) 8548800 / FX: (423) 854 9771 To locate a field office, call the number above
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Step 1: Locate the date field on the form.
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Step 2: Enter the month, day, and year of the initial visit.
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Step 3: Double-check the entered date for accuracy.
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Who needs date of initial visit?

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Patients or individuals seeking medical services
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Administrative staff or medical personnel responsible for record-keeping
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Date of initial visit refers to the first time an individual or a group visits a certain location or establishment.
The person or organization responsible for keeping records of visits is required to file the date of initial visit.
Date of initial visit can be filled out by recording the specific date and time when the visit took place.
The purpose of date of initial visit is to track and monitor when individuals or groups first visited a particular location.
The information that must be reported on date of initial visit includes the date, time, and possibly the purpose of the visit.
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