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PATIENT INFORMATION 06/2016Welcome to South Florida Orthopedics & Sports Medicine Patients Last Name:First Name:Middle Name:Social Security #:Birth Date:Sex:Primary Street Address: City:State:Zip:County:Primary
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How to fill out primary street address
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To fill out a primary street address, follow these steps:
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Start by writing the house or building number on the first line.
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Next, write the street name on the second line.
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If there is an apartment or unit number, include it on the third line.
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Write the city or town name on the fourth line.
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The fifth line should contain the state, province, or region name.
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Finally, write the postal code or ZIP code on the last line.
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Primary street addresses are necessary for:
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What is primary street address?
The primary street address is the physical address of a location, typically where a person or business is located.
Who is required to file primary street address?
Anyone who is required to provide their address for legal or official purposes is required to file a primary street address.
How to fill out primary street address?
To fill out a primary street address, simply provide the street number, street name, and any additional address information such as apartment number or suite.
What is the purpose of primary street address?
The purpose of a primary street address is to accurately identify the location of a person or business for mailing, legal, and official purposes.
What information must be reported on primary street address?
The primary street address must include the street number, street name, city, state, and zip code.
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