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Alpine County Behavioral Health Services Demographic Form INDEX CARD ALL CAPS Client #: Sort Name: Last, Legal Name: *Last Name: Middle: *DOB:FirstMiddle *First Name: Suffix: Soc Sec #:CLIENT IDENTIFYING
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Demographic formpage 1 is a form used to collect information about the characteristics of a specific group of people.
All individuals or organizations who are requested to do so by the governing body.
Demographic formpage 1 can be filled out by providing accurate information in the designated fields.
The purpose of demographic formpage 1 is to gather data on the demographics of a specific group for analysis and decision-making purposes.
Information such as age, gender, ethnicity, education level, income, and other relevant demographic details.
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