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Name: D.O.B. TO BE COMPLETED AND SIGNED BY YOUR HEALTH CARE PROVIDER. ALL INFORMATION MUST BE IN ENGLISH. PART I: COMPLETION IS MANDATORY FOR HOUSING ADMISSION ATTACHED RECORDS WILL BE ACCEPTED AS

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Part I completion is the initial section of a form or document that needs to be filled out before proceeding to other sections.

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The purpose of Part I completion is to gather essential information and set the foundation for the rest of the form or document.

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The information required on Part I completion may vary depending on the specific form or document, but typically includes personal details, dates, and other relevant data.

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