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Last Name First Name PhD# Birthdate (ddMonyyyy)Specialized Geriatrics Outpatient Referral# PhysicianClient DemographicsMissing or incomplete information will delay processing. Ensure a referral letter
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How to fill out birthdate dd-mon-yyyy

01
To fill out a birthdate in the dd-mon-yyyy format, follow these steps:
02
Start with the day (dd). Enter the numerical value of the day of the month on which the person was born. For example, if someone was born on the 15th, you would write '15'.
03
Add a hyphen (-) after the day to separate it from the month.
04
Enter the abbreviated three-letter month (mon) in uppercase. This represents the month in which the person was born. For example, if someone was born in January, you would write 'JAN'.
05
Add another hyphen (-) after the month to separate it from the year.
06
Enter the four-digit year (yyyy) in which the person was born. For example, if someone was born in 1990, you would write '1990'.
07
The final format should have the day, hyphen, month abbreviation, hyphen, and year represented as dd-mon-yyyy. For example, '15-JAN-1990'.

Who needs birthdate dd-mon-yyyy?

01
The birthdate in dd-mon-yyyy format is needed by various entities or individuals for different purposes, including:
02
- Government agencies and institutions often require this format to maintain accurate records related to birth certificates, identity documents, or official databases.
03
- Employers may need to collect birthdate information in this format for age verification, eligibility for certain benefits, or compliance with labor laws.
04
- Healthcare providers and medical systems often use this format for patient records, scheduling appointments, or determining age-related medical treatments.
05
- Educational institutions may require this format for enrollment, age verification, or generation of student identification numbers.
06
- Financial institutions might ask for this format when opening accounts or conducting age-related transactions, such as obtaining loans or credit cards.
07
- Online platforms or services may request this format for age verification, user registration, or personalization purposes.
08
Overall, anyone who deals with personal information and requires accurate birthdate records can benefit from using the dd-mon-yyyy format.
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Birthdate dd-mon-yyyy is the date on which a person was born.
Everyone is required to provide their birthdate on official documents and records.
You can fill out your birthdate by indicating the day, month, and year you were born in the specified format.
The purpose of providing a birthdate is to establish and verify a person's identity and age.
The information to be reported includes the day, month, and year of a person's birth.
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