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ADULT HISTORY FORM Name: Today's Date: Date of Birth: Age: Place of Birth: Occupation: Marital Status: Single Married Widowed Divorced Spouse: Spouses Occupation: Chief Complaint (Reason for Visit
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To fill out the marital status as single, select the option 'Single' from the dropdown menu.
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To fill out the marital status as married, select the option 'Married' from the dropdown menu.
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To fill out the marital status as widowed, select the option 'Widowed' from the dropdown menu.
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To fill out the marital status as divorced, select the option 'Divorced' from the dropdown menu.

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Individuals who are filling out forms or applications that require providing their marital status need to specify whether they are single, married, widowed, or divorced.
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Single, married, widowed, and divorced are marital statuses that describe a person's current relationship status.
Individuals who need to identify their marital status for legal or official purposes are required to indicate whether they are single, married, widowed, or divorced.
To fill out single married widowed divorced, simply choose the option that best describes your current marital status when completing forms or applications that require this information.
The purpose of indicating single married widowed divorced is to provide accurate information about an individual's relationship status for legal, tax, or administrative purposes.
The information reported on single married widowed divorced typically includes the individual's current relationship status at the time of filling out the form or document.
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