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PATIENT INTAKE FORM PLEASE TELL US ABOUT YOU Today's Date / / Full Legal Name Male Female Single Married Widow Divorced How you prefer to be addressed Social Security # Birthdate / / Age Email address
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How you prefer to is a method or style that individuals or organizations choose to follow in specific processes or activities, often reflecting personal or collective preferences.
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Individuals or organizations that fall within the parameters defined by relevant regulations or policies are required to file according to how they prefer to.
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