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Western Mass Wellness Center, Wellness Program Waiver & Release of Liability567 Springfield Street Feeding Hills, MA 01030 (413) 2444660CLIENT INFORMATION FORM (please print legibly) Name: Phone:
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The updated intake form 8-8-18 is a revised document required for reporting specific information as mandated by regulatory agencies, typically used for compliance and data collection purposes.
Entities or individuals who fall under the jurisdiction of the regulatory body that mandates the use of the updated intake form 8-8-18 are required to file it.
To fill out the updated intake form 8-8-18, individuals should carefully follow the instructions provided with the form, ensuring all required fields are completed with accurate and up-to-date information.
The purpose of the updated intake form 8-8-18 is to collect relevant information needed for regulatory compliance, monitoring, and data analysis.
The updated intake form 8-8-18 typically requires reporting of personal identification information, financial data, and any other details specified by the form's instructions.
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