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Medicare Annual Wellness Visit Questionnaire Patients Name: Date: Date of Birth: Current/former Occupation: Drug Allergies: Please list any other physicians (Specialists) you see: Please list any

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What is current/former occupation?

Current/former occupation refers to the job title or profession that a person currently holds or previously held.

Who is required to file current/former occupation?

Individuals who are required to disclose their financial interests or potential conflicts of interest, such as government officials, are typically required to file their current/former occupation.

How to fill out current/former occupation?

To fill out current/former occupation, individuals typically need to provide their job title, employer, and a description of their duties and responsibilities in that role.

What is the purpose of current/former occupation?

The purpose of disclosing current/former occupation is to provide transparency and prevent potential conflicts of interest in decision-making processes.

What information must be reported on current/former occupation?

The information that must be reported on current/former occupation typically includes the job title, employer, and a brief description of the individual's responsibilities.

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