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Chart #: FOR OFFICE USE ONLY Patient Information Patient Name Last, First MI Gender Social Security #: Male (Preferred Name) Female Marital Status: Birth Date Phone (Primary): (Secondary): Email:
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A chart is a visual representation of data.
The individual or organization specified by the governing body.
The chart can be filled out manually or using software tools.
The purpose of a chart is to present data in a visually appealing and easy-to-understand manner.
The information reported on a chart depends on the specific data being presented.
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