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Date: HealthAssessment About Name: Gender’M/FDateofBirth: Address: City: Province: Postcode: Email: PhoneNumber(H): Phone(C): Pain, InjuryandorChronicConditions Confidentiality:Wearecommittedtoprotectingyourprivacy.
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01
Start by opening the form or application that requires the information.
02
Locate the section asking for 'namegendermfdateofbirth'.
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Fill out your full name in the 'name' field.
04
Choose your gender from the options available (male, female, or other) and enter it in the 'gender' field.
05
Enter your date of birth in the 'dateofbirth' field following the specified format (e.g., DD/MM/YYYY or MM/DD/YYYY).
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