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NEW PATIENT INTAKE FORM name TODAY S DATE// Birthdate Address Phone home cell City/state/zip Email address referred by reason for visit today have you had acupuncture scenar treatments yes no Yes NO Chinese herbal medicine yes no are you under the care of a physician yes no if yes who is your physician other concurrent therapies primary health insurance info insurance carrier policy insured if other than patient insurance id date of birth secondary health insurance phone if auto accident in...

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What is phonehome?

Phonehome is a reporting mechanism used to track communication between devices and a central server.

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Phonehome can be filled out electronically through the system interface.

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The purpose of phonehome is to ensure all communication between devices and server is being tracked.

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The information reported on phonehome includes device ID, time of communication, type of communication, and any errors encountered.

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