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CONFIDENTIAL PATIENT CASE HISTORY FORM PLEASE PRINT NAME: BIRTH DATE: DAY MONTH YEAR AGE: SEX: MF ADDRESS: TOWN/CITY: POSTAL CODE: PHONE (H): PHONE (W): CELL: EMAIL: OCCUPATION: EMERGENCY CONTACT:
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What is wes dawkins?
Wes Dawkins is a form used for filing financial disclosures.
Who is required to file wes dawkins?
Certain public officials and employees are required to file the Wes Dawkins form.
How to fill out wes dawkins?
Wes Dawkins form can be filled out online or by mail with the required financial information.
What is the purpose of wes dawkins?
The purpose of Wes Dawkins form is to promote transparency and accountability in public service.
What information must be reported on wes dawkins?
The Wes Dawkins form requires reporting of financial assets, income, liabilities, and gifts received.
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