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Confidential Patient IntakeTodays Date: / / How did you hear about us? Close to home/workFamily Dr. Hospital Friend / Coworker Insurance Plan Website / Interpersonal Information Title: Mr. Ms. Mrs.
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Friend co-worker is a form for reporting a personal or financial relationship with a coworker.
Employees who have a personal or financial relationship with a coworker are required to file friend co-worker.
You can fill out friend co-worker by providing details of your relationship with the coworker and any relevant financial information.
The purpose of friend co-worker is to ensure transparency and prevent conflicts of interest in the workplace.
You must report details of your relationship with the coworker, including any financial transactions or gifts exchanged.
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