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PATIENT INFORMATION Name:LastFirstM. I. Address:StreetCityStateZip Home Phone #: ()Cell Phone #: ()How did you hear about us? Physician / Family / Friend / Phone Book / Internet / OtherHorizon Rehabilitation
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To fill out the home phone - cell phone, follow these steps:
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Start by entering the area code of your phone number.
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Next, enter the 7-digit phone number excluding the area code.
04
If you have a cell phone, indicate that by selecting the appropriate option.
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Provide any additional information or special instructions related to your phone number if required.
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Finally, review your entries and make sure everything is accurate before submitting the form.

Who needs home phone -cell phone?

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Home phone - cell phone is needed by:
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- Individuals who want a fixed line for communication at their home.
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- Families who prefer having a landline phone for emergencies or as a backup.
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- People who may have limited mobile reception at their location.
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- Those who want to keep their home and mobile phone numbers separate for privacy or organizational purposes.

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Home phone-cell phone refers to the contact information for an individual's home phone number and cell phone number.
Individuals who are required to provide contact information for both their home phone and cell phone numbers.
To fill out home phone-cell phone, individuals need to provide their home phone number and cell phone number in the designated sections on the form.
The purpose of home phone-cell phone is to ensure that individuals can be reached at both their home and cell phone numbers in case of emergencies or important communication.
The information required to be reported on home phone-cell phone includes the individual's home phone number and cell phone number.
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