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Amandeep There, Adult Intake Formula Name: Date: (First)(Middle)(Last)(dd/mm/by)Age: Birth date: Sex: Gender: (dd/mm/by)Contact InformationAddress: City: Postal: (Street No.)(Street Name)(Apt
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To fill out firstmiddlelastddmmyy, follow these steps:
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Start with the first name.
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Next, write the middle name, if applicable.
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Lastly, write the last name.
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After the last name, write the day of the birthdate.
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Following the day, write the month of the birthdate.
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Lastly, write the year of the birthdate in full format (e.g., 1990).
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