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PATIENT MEDICAL HISTORY Patients Name:Preferred Name:Address:Today's Date:City State iPhone Phone:Email Address:Birthdate:Person Responsible For Bill:Employer:Business Address:City State Spouses Name:Birthdate:Cell

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What is preferred name mailing address?

The preferred name mailing address is an alternative mailing address that an individual can request to have the mail sent to instead of their legal name address.

Who is required to file preferred name mailing address?

Anyone who wishes to receive mail under a different name than their legal name is required to file the preferred name mailing address.

How to fill out preferred name mailing address?

To fill out a preferred name mailing address, an individual must submit a request to the appropriate institution or organization, providing the alternative name and address where they want their mail to be sent.

What is the purpose of preferred name mailing address?

The purpose of the preferred name mailing address is to provide individuals with the option to receive mail under a name that they feel more comfortable with, for reasons such as privacy or personal preference.

What information must be reported on preferred name mailing address?

The preferred name mailing address must include the alternative name that the individual wishes to use, as well as the address to which they want their mail to be sent.

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