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NEW PATIENT INTAKE Name: Today's Date: Address: City: State: Zip: Home Phone: () Cell Phone: () Work Phone: (Email Address: Birth Date: Age: Gender :) MaleFemaleOtherSocial Security Number: Occupation:
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A cell phone is a portable electronic device that allows users to make calls, send text messages, and access the internet, among other functionalities.
Individuals who own or use a cell phone may be required to file information regarding their usage for tax purposes, often determined by local regulations.
Filling out information related to a cell phone typically involves providing details about the phone's usage, costs, and any applicable plans as required by local tax regulations.
The purpose of a cell phone is to facilitate communication through voice calls, texts, and internet access, while also providing various applications for personal and business use.
Information that must be reported may include the device's number, monthly expenses, contract details, and any business-related usage.
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