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ShareneGaraman, Pay. D. Biographical, Medical&LifestyleInformation BIOGRAPHICAL Date: Name: Birthdate Address: HomePhoneand/Orwell: Emailorcellnumbertoconfirmappttimes: Occupation: Degree/HighestGrade:
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Open the client-intake-form-for-demographicsdocx document on your computer.
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Fill in the personal information section with the client's name, address, phone number, and email.
03
Move on to the demographic information section and enter the client's age, date of birth, gender, and ethnicity.
04
Provide details about the client's marital status, education level, and occupation.
05
Complete the medical history section by indicating any existing medical conditions, allergies, and medications the client is taking.
06
If necessary, fill in the insurance information of the client including the policy number and provider.
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Finally, review the form to ensure all the necessary fields are filled in, then save and print the document if required.

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The client-intake-form-for-demographicsdocx is usually required by healthcare providers, therapists, social workers, or any professional who needs to gather demographic and personal information from their clients.
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It is especially useful in the healthcare industry to assess patients' needs, track medical history, and provide appropriate care.
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Client-intake-form-for-demographicsdocx is a form used to collect demographic information about clients.
All clients are required to fill out and file the client-intake-form-for-demographicsdocx.
The form can be filled out manually or electronically by providing accurate demographic information as requested.
The purpose of the form is to gather demographic data to better understand the client base.
The form may require information such as age, gender, ethnicity, address, and other relevant demographic details.
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