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NEW PATIENT INTAKE FORM DATE: NAME: DATE OF BIRTH: SOCIAL SECURITY #: ADDRESS: CITY: STATE: ZIP CODE: HOME PHONE #: WORK PHONE #: CELL#: EMAIL: WEIGHT: HEIGHT: REFERRING PHYSICAL: PAST MEDICAL HISTORY:

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How to fill out home phone work phone

01

Start by obtaining the necessary forms or applications for phone service.

02

Fill out the forms or applications with your personal information, including your full name, address, and social security number.

03

Look for the sections where you are asked to provide your home phone number and work phone number.

04

Enter your home phone number in the designated field. This is the phone number where you can be reached at your residence.

05

Enter your work phone number in the designated field. This is the phone number where you can be reached at your workplace.

06

Double-check all the information you have provided for accuracy and completeness.

07

Submit the completed forms or applications as instructed by the phone service provider.

08

Wait for your home phone and work phone service to be activated. You may need to set up the physical phone devices once the service is activated.

Who needs home phone work phone?

01

Home phone and work phone are usually needed by individuals who require separate means of communication for their personal and professional lives. This can include individuals who work from home, people who need to separate personal and work-related calls, or individuals who need to be reachable at different locations. It is particularly useful for those who prefer not to mix their personal and professional contacts or for situations where specific phone numbers need to be shared with certain individuals or organizations.

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