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REFERRAL FORMReferral Date: Patient Information: Name Address Postal Code Date of Birth Telephone (H) (W) © Referral Source: Name Address Postal Code Telephone Fax Reason for Referral: Psychological
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To fill out please print in block, follow these steps:
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Start by using a pen with ink that is easy to read and won't smudge.
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Write each letter of your text separately, making sure they are clear and legible.
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Use capital letters for each character, as printing in block means to write in uppercase only.
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Leave a small space between each letter to enhance the readability.
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Avoid cursive or script styles of handwriting, as they are not considered block letters.
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Make sure your text is centered within the given space to maintain neatness.
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Review the guidelines provided, if any, to ensure you are following specific requirements.
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Remember, accuracy and legibility are key when filling out any document using the block print.

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It is important to always check the requirements of the specific entity or individual requesting the block print.
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Please print in block refers to a directive often used on forms or applications that instructs individuals to print their information clearly and legibly in capital letters.
Individuals or entities filling out specific forms that require clear and legible information must use the print in block format.
To fill out in block letters, use capital letters for each character and ensure that the writing is clear and spaced appropriately so that it is easily readable.
The purpose is to ensure that the information submitted is clear and legible, which helps prevent errors and processing delays.
Typically, the required information includes names, addresses, identification numbers, and any other requested data that needs to be accurately recorded.
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