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WELCOME TO OKLAHOMA SHOULDER CENTER, LLC PATIENT INFORMATIONRECORD # DATE: PATIENT NAME: ADDRESS: CITY STATE ZIP EMAIL CONSENT TO EMAIL YES NO AGE: DATE OF BIRTH: / / LEFT HANDED RIGHT HANDED MALE
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Individuals who work and earn income in Oklahoma are required to file Welcome to Oklahoma Shoulder.
To fill out Welcome to Oklahoma Shoulder, individuals must provide information about their income earned in Oklahoma and any applicable deductions.
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