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Patients Name:Gender: M / Date of Birth:Age:Parent/Guardian:Grade:Occupation:Address:
Parent/Guardian:Occupation:Address:
Best Phone #: (Fax: ())Alternate Phone #: ()email:Referral
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What is alternate phone?
Alternate phone is an additional contact number provided to reach an individual or organization.
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Alternate phone filing requirements vary depending on the organization or institution.
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To fill out alternate phone, one must provide the additional contact number in the designated form or database.
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The purpose of alternate phone is to ensure there are multiple ways to contact an individual or organization in case of emergencies or important communication.
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The information reported on alternate phone typically includes the phone number and the name of the individual or organization.
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