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New Patient Informational Date Address City State Zip Home # Cell# Work# Email Occupation Referred By Day What is your main complaint or area of interest? Family History (check all that apply): Stroke
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What is Home #Cell#Work# Form?

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Home cellwork is a report to document cell phone use for business purposes while working from home.
Employees who use their personal cell phones for work purposes from home are required to file home cellwork.
Home cellwork can be filled out by documenting the date, time, purpose, and duration of each work-related call on the employee's personal cell phone.
The purpose of home cellwork is to accurately track and report business use of personal cell phones while working remotely.
On home cellwork, employees must report the date, time, purpose, and duration of each work-related call on their personal cell phone.
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