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ATLANTA MEDICAL INSTITUTE EVALUATION FORM Patients Name: DOB: Date: Please check which apply (current or past history)HEAD/EARS Ear Aches Ear Infections Ear Irritation Ringing In Ears Headaches Migraines
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Intake wl 2-7-18docx is a document used for recording intake information on the 2nd of July, 2018.
The responsible individual or department designated for intake processing is required to file intake wl 2-7-18docx.
Intake wl 2-7-18docx should be filled out by entering the required intake information in the designated fields on the document.
The purpose of intake wl 2-7-18docx is to gather and document intake information for record-keeping and processing purposes.
Information such as intake date, intake details, intake processed by, and any relevant intake notes must be reported on intake wl 2-7-18docx.
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