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BELLINGHAMPatient Name: OB/GUN SOCIAL HISTORY Smoking Status: (Current, Former or Social) Years of tobacco use: Vaping Status: (Current, Former or Social) Years of vaping product use: Smoking amount:
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What is screening and assessments form?
The screening and assessments form is a document used to evaluate individuals for specific criteria or qualifications.
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Individuals or organizations designated by authorities are required to file the screening and assessments form.
How to fill out screening and assessments form?
To fill out the screening and assessments form, individuals need to provide accurate information and complete all required fields.
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The purpose of the screening and assessments form is to assess individuals or entities for specific criteria or qualifications.
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The screening and assessments form requires information related to the individual or entity being evaluated.
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