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1012 State Route 521 Delaware OH 43015 Tel 740-417-9565 Fax 740-417-9571 www. smilecenterohio. c om We are pleased to welcome you to our office. Please take a few minutes to fill out this form as completely as you can* If you have any questions we will be glad to help you. PATIENT INFORMATION Full Legal Name Preferred Name Birthdate SS Gender M F Married Y N Home Phone Work Phone Wireless Phone Email Address Home Address City State Zip Driver s License Number State Issued Exp* Date...
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We are pleased to is typically a phrase used to express satisfaction or approval regarding a particular matter or event.
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The phrase 'we are pleased to' does not pertain to a document or form that requires filling out.
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Since 'we are pleased to' is not a formal document, there is no specific information that must be reported.
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