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PATIENT REGISTRATION MR/MRS/MSD ATE: LASTFIRSTBIRTHDATE:M.I.AGE:SSN:HOME ADDRESSCITYSTATEZIPMAILING ADDRESS (If Different From Home Address)CITYSTATEZIPHOME PHONE: ()MARITAL STATUS:WORK PHONE: (MARRIED)CELL
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How to fill out mailing address if different

01
Start by writing your full name on the first line of the address.
02
Write your house number and street name on the second line.
03
If necessary, include any additional address information such as apartment number or building name on the third line.
04
Specify the city or town name on the fourth line.
05
Write the state or province name on the fifth line.
06
Include the postal code or ZIP code on the sixth line.
07
Finally, write the country name on the last line.

Who needs mailing address if different?

01
People who have a different mailing address than their residential address may require this information.
02
International travelers or expatriates who receive mail in a different location.
03
Individuals who use a P.O. Box for their mail instead of their residential address.
04
Businesses that operate in multiple locations and have a separate mailing address.
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The mailing address if different is the address where correspondence or mail should be sent, if it is different from the physical address.
Any individual or entity who has a different mailing address than their physical address is required to file the mailing address if different.
You can fill out the mailing address if different by providing the alternate address where mail should be sent on the appropriate forms or documents.
The purpose of the mailing address if different is to ensure that important correspondence reaches the intended recipient at the correct address.
The mailing address if different must include the recipient's name, street address, city, state, and zip code.
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