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Glenn D. Gerald, D.D.S. 2573 Chain Bridge Road Vienna, Virginia 22181 (703) 2810041 ADULT HEALTH HISTORY NAME: SINGLE: MARRIED: DIVORCED: WIDOWED: ADDRESS: CITY: STATE: ZIP: HOME PHONE: WORK PHONE:

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Gerald D is a specific tax form used for reporting certain financial information to the tax authorities.

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Information that must be reported on Gerald D typically includes income, deductions, credits, and other relevant financial details.

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