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FREEHOLD PHYSICAL THERAPY PATIENT MEDICAL HISTORY FORM Name: DOB: Date:. To help us better evaluate your condition please complete this form to the best of your knowledge. If you have any questions
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Application form - public is a standard form that is available to the general public for completion in order to request access to certain information or services.
Any individual or organization seeking access to specific information or services that require completion of the application form - public.
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The purpose of the application form - public is to streamline the process of requesting access to information or services and ensure that all relevant information is provided.
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