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NEW PATIENT INFORMATIONPatient Name: Date of Birth: / / Last First Middle I. Race: White Black/African American Indian/Alaska Native Asian Native Hawaiian/Pacific Islander Thermal Address: Home #:
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Home cell work refers to the responsibilities and tasks associated with managing and reporting information about a household's cell phone usage and related services.
Individuals or households that utilize cellular services are typically required to file home cell work.
To fill out home cell work, gather all relevant information regarding cell phone usage, including provider details, plan types, and any associated costs, then complete the designated form following the provided instructions.
The purpose of home cell work is to accurately report and maintain records of cell phone usage, ensuring compliance with reporting requirements and assisting in budget management.
Information that must be reported includes the number of lines, plan details, usage statistics, costs associated, and any changes to service or providers.
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