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OrthoSportsAssociates, L.L.C. Haveyouseenourdoctorsinthepast? Date When? Yes NoPatientInformationSheetPATIENTINFORMATION(GREASEPAINT) NAMEMARITALSTATUSSOCIALSECURITYNO.AGEADDRESSCITYSTATE ZIPHOMEPHONENO.EMPLOYER/SCHOOLANDADDRESSCITY,STATE,ZIPOCCUPATION&YEARSEMPLOYED
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01
Start by gathering all the necessary information such as the name of the employer, the name of the school, and the address of both.
02
Begin by writing the name of the employer in the designated field. Make sure to write it correctly and without any spelling errors.
03
Move on to the school section and write the name of the school the individual attended. Again, ensure the accuracy of the information.
04
Finally, provide the address of both the employer and the school. This includes the street name, city, state, and zip code.
05
Double-check all the provided information for any mistakes or missing details before submitting the form.

Who needs employerschoolandaddress?

01
Anyone who is required to provide their employment history or educational background needs to fill out the employerschoolandaddress. This can include job applicants, students, or individuals applying for certain programs or benefits that require such information.
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Employerschoolandaddress refers to the information about the employer's name, school, and address.
Employers are required to file employerschoolandaddress.
Employers can fill out employerschoolandaddress by providing their name, school, and address in the designated fields.
The purpose of employerschoolandaddress is to provide accurate information about the employer's identity and location.
The information that must be reported on employerschoolandaddress includes the employer's name, school, and address.
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