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Contact Information and History
NAME:AGE:ADDRESS:PHONE:CITY/ZIP:EMAIL:Emergency
Contact:Phone:DOB:Relationship:PRESENT SITUATION
Why are you seeking
counseling now?
How long has this
been an issue?
What
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What is contact information and history?
Contact information and history refers to the details of communication information and past interactions with an individual or organization.
Who is required to file contact information and history?
All individuals or organizations who have had dealings with the individual or organization in question are required to file contact information and history.
How to fill out contact information and history?
Contact information and history can be filled out by providing details of communication methods used and a summary of past interactions.
What is the purpose of contact information and history?
The purpose of contact information and history is to maintain a record of communication and interactions for future reference.
What information must be reported on contact information and history?
The information reported on contact information and history includes contact details, communication methods, and a summary of past interactions.
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