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Patient Label:PATIENT INSTRUCTIONS: Please make sure you complete all 5 pages *DO NOT detach the pages from the stubINITIAL PATIENT HISTORY & PHYSICAL M.D. This form is to help your doctor give you

How to fill out please make sure you

How to fill out please make sure you

1. To fill out the form, please make sure you follow these steps:
2. Start by gathering all the necessary information and documents that you will need to complete the form.
3. Read the instructions carefully to understand the requirements and any specific guidelines for filling out the form.
4. Begin by entering your personal information, such as your name, address, and contact details, in the designated fields.
5. Double-check and verify the accuracy of the information you have entered before proceeding to the next section.
6. Continue filling out the form by providing the requested information in a clear and concise manner.
7. If there are any questions or sections that are not applicable to you, make sure to indicate N/A or leave them blank as instructed.
8. Pay attention to any additional documents or supporting evidence that may be required, and ensure they are attached or included with the form.
9. Review the completed form to make sure all the information is correct and complete.
10. Sign and date the form where necessary, following the provided instructions for signature placement.
11. Make a copy of the filled-out form for your records and submit the original as required, either electronically or by mail, following the specified submission method.
12. Remember to keep a copy of the submission confirmation or any receipts as proof of submission, if applicable.

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5. In summary, anyone who needs to complete a form or application correctly and according to specific instructions should pay attention to 'please make sure you' prompts.

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