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20172018 Informed Consent to Receive Vaccines First Name:Last Name:Date of Birth:Street Address: City: Phone: (State:)Zip:Mobile/Landline (circle one)Male/Female (circle one)Drug Allergies Physician:Physician
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What is mobileland line circle one?
Mobile/landline circle one refers to the section on a form or document where the individual is required to indicate whether they primarily use a mobile phone or a landline phone.
Who is required to file mobileland line circle one?
Any individual filling out a form or document that requires information about the type of phone they primarily use.
How to fill out mobileland line circle one?
To fill out mobile/landline circle one, simply mark whether you primarily use a mobile phone or a landline phone in the designated section.
What is the purpose of mobileland line circle one?
The purpose of mobile/landline circle one is to gather information about the primary communication device used by the individual.
What information must be reported on mobileland line circle one?
The individual must report whether they primarily use a mobile phone or a landline phone.
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