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CAMPUS HEALTH CENTER 5200 Anthony Wayne Drive, Suite 115, Detroit, MI 48202 (313) 5775041 PATIENT ENROLLMENT AND CONSENT FORM NAME: DOB: FIRSTMIDDLE INITIAL MM / DD / YYLASTMARITAL STATUS: GENDER:
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Start by writing your full name at the top line of the mailing address.
02
Write the street address on the next line. Include the house number, apartment number (if applicable), and street name.
03
On the following line, write the name of the city or town where you live.
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Write the name of the state or province on the next line.
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Include the ZIP code or postal code on the final line of the address.

Who needs homeusa mailing address?

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Anyone residing in the United States who wants to receive mail at their home address needs a homeusa mailing address. This includes individuals, families, and businesses.
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Homeusa mailing address is the address where Homeusa sends correspondence and official communications.
All individuals or entities who have a business relationship with Homeusa are required to provide a mailing address.
You can fill out the homeusa mailing address by providing your full name, address, city, state, and zip code on the designated form.
The purpose of homeusa mailing address is to ensure that Homeusa can send important information and updates to their customers or clients.
The information that must be reported on homeusa mailing address includes the recipient's name, complete address, city, state, and zip code.
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