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All Families Healthcare PO Box 4027 / 737 Spokane Whitefish, MT 59937 406.730.8682 info all families.org www.allfamilieshealth.orgNAME: DOB: GENDER/GENDER IDENTITY: CONFIDENTIAL PATIENT HEALTH HISTORY

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What is what about https://www.allfamilieshealth?

It is a website that provides information about healthcare services for families.

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All individuals seeking healthcare services for their families are required to fill out the information on the website.

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What is the purpose of what about https://www.allfamilieshealth?

The purpose of the website is to help families access healthcare services and information.

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You must report personal and healthcare information for your family members.

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