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ALBANY AREA COMMUNITY SERVICE BOARD OUTPATIENT NURSING ASSESSMENT Consumer Name: Chart #: Date: Address: City/Zip: Telephone(s): Sex: ? Male ? Female Race: ? Black ? White Date of Birth: / / Age:
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Albany Area Community Service is a local organization dedicated to helping those in need within the Albany area.
Individuals or organizations that have participated in community service activities through Albany Area Community Service are required to file.
To fill out Albany Area Community Service, individuals or organizations must provide details of the community service activities they have participated in, including dates, hours, and a brief description.
The purpose of Albany Area Community Service is to improve the community by providing support and assistance to those in need.
Information such as dates, hours, and descriptions of community service activities must be reported on Albany Area Community Service forms.
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