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5320 N. Tarrant Parkway, Suite 200 Fort Worth, TX 76244 Phone: 8174273376 Fax: 8174273379Patient Registration Name: Address: City, State, Zip: Date of birth: Age: MaleFemaleHome Phone: Work Phone:

How to fill out formre are several versions

How to fill out formre are several versions

1. To fill out the form, follow these steps:
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5. Proceed to fill in the specific sections of the form, providing accurate and complete information.
6. Double-check all the entered details to ensure correctness.
7. If required, attach any supporting documents as mentioned in the form instructions.
8. Review the entire form once again to ensure nothing has been missed.
9. Sign and date the form if necessary.
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11. Keep a copy of the filled-out form for your records.

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Formre can refer to different versions of a form or document that may have been updated or revised over time.

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