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REGISTRATION TORMENTOR FRANKLIN ORTHOPEDIC ASSOCIATESPATIENT Patients First Name:MI:Date of Birth:Nickname:Patient Street Address:Patient Street Address 2: State:Home Phone:Daytime:)Sex:Date: By:
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How to fill out patient street address 2
How to fill out patient street address 2
01
To fill out patient street address 2, follow the steps below:
02
Locate the field designated as 'Street Address 2' on the patient information form.
03
If applicable, enter the relevant information in this field.
04
Ensure that the information entered is correct and accurately reflects the patient's additional street address details.
05
If there are no additional address details for the patient, leave this field blank.
Who needs patient street address 2?
01
Anyone who has additional street address information for the patient needs to provide the patient street address 2.
02
This could include cases where the patient has a separate mailing address or multiple locations.
03
It helps to provide more specific address information for the patient, ensuring accurate and reliable communication or delivery.
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What is patient street address 2?
Patient street address 2 is the second line of the patient's address, which may include additional information like apartment number or suite number.
Who is required to file patient street address 2?
Healthcare providers or facilities are typically required to include patient street address 2 in their records or forms.
How to fill out patient street address 2?
Patient street address 2 should be filled out by entering any additional address details after the main street address, such as apartment number or suite number.
What is the purpose of patient street address 2?
The purpose of patient street address 2 is to provide more specific location information for the patient, especially in cases where the main street address is not sufficient.
What information must be reported on patient street address 2?
Patient street address 2 should include any additional details needed to accurately locate the patient's residence, such as apartment or suite number.
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