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NEW PATIENT DENTAL REGISTRATION FORM Today's Date: CHC Site Preference: FitchburgPatient Name: Street Address: City, State, Zip: Social Security Number: Home Telephone Number: (Cell Telephone Number:
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Community Cares - Community is a program that focuses on helping neighborhoods and local communities by addressing the needs of its residents.
Any individual or organization that wants to contribute to improving their community can file for Community Cares - Community.
To fill out Community Cares - Community, individuals or organizations can visit the program's official website and follow the instructions provided for submitting their community improvement ideas or projects.
The purpose of Community Cares - Community is to bring together individuals and organizations to work towards making positive changes within their communities and helping those in need.
Information such as the proposed project or idea, the target audience or community, the expected impact, and the resources needed must be reported on Community Cares - Community.
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