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New Patient Intake Form Please print clearly and bring with you to the office for your first appointment. All records are confidential. Name Date Address Birth Date Age City/State/ZIP Comfit. Wt.
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Please print clearly is a phrase commonly used to request that someone writes legibly and without ambiguity in order to ensure that the information can be easily read and understood.
Individuals or entities that are required to submit forms or documents where legibility is crucial typically need to adhere to the request to please print clearly.
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The purpose of requesting that someone please print clearly is to ensure that the information provided is accurate, legible, and easily processed by the receiving party.
The information that must be reported typically includes names, addresses, dates, and any other critical details relevant to the form being completed, all of which should be filled out legibly.
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