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Office of Epidemiology Phone: (602) 5066767 Fax: (602) 3728935 WeArePublicHealth.org Maricopa County Department of Public Health Specimen Collection Consent Form I give Maricopa County Department
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To fill out a date, follow these steps:
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Start by writing the numeric day of the month. For example, if the date is January 10th, write '10'.
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Next, write the abbreviated name of the month. For example, if the date is January 10th, write 'Jan'.
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After the month, write the numeric year. For example, if the date is January 10th, 2022, write '2022'.
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Finally, you can include the day of the week before or after the date if desired. For example, if the date is January 10th, 2022 and it was a Monday, you can write 'Monday, Jan 10, 2022' or 'Jan 10, 2022, Monday'.

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