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Personal Information Patient Name: Date of Birth (D/M/Y): / / Mailing Address: Postal Code: Telephone (Home): (Work): (Cell): Email: Alberta Health Care #: Who may we thank for referring you to our
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To fill out personal information, follow these steps:
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Start by providing your full name.
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Enter your date of birth.
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Specify your gender.
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Provide your contact information, including your phone number and email address.
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Enter your residential address, including the street, city, state, and zip code.
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If applicable, provide your occupation and employer details.
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If required, provide your social security number or other identification numbers.
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Lastly, review the information you have entered and ensure its accuracy before submitting.

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Personal information - absolute refers to any data that can identify an individual, including but not limited to names, addresses, social security numbers, and other identifying details.
Individuals, businesses, or organizations that collect, process, or manage identifiable personal information are generally required to file personal information - absolute.
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The purpose of personal information - absolute is to accurately identify individuals for legal, administrative, and operational processes, ensuring proper record-keeping and compliance.
Information that must be reported includes full name, address, date of birth, social security number, and any other identifying data specified by regulatory agencies.
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