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ACUPUNCTURE INTAKE FORM Name Date Age Main Complaint Family History 1. Sleep Habits Difficulty Falling Asleep () yes ()No Difficulty Staying Asleep () yes ()No 2. Urine How often () frequent () scanty

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What is main complaint?

The main complaint is a formal statement lodged by an individual or organization alleging a violation of laws or regulations.

Who is required to file main complaint?

Individuals or organizations directly impacted by the alleged violation are required to file the main complaint.

How to fill out main complaint?

The main complaint should be filled out with detailed information about the alleged violation, supporting evidence, and contact information of the complainant.

What is the purpose of main complaint?

The purpose of the main complaint is to bring attention to potential violations of laws or regulations and initiate an investigation by the appropriate authorities.

What information must be reported on main complaint?

The main complaint must include details of the alleged violation, supporting evidence, and contact information of the complainant.

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