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Today\'s Date:___Patient Registration Formation Legal Name: ___ Preferred First Name:___Primary Address: ___ City: ___ State: ___ Zip: ___ Home Phone#: ___ Cell#: ___ Secondary Address: ___ City:
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How to fill out home phone cell

01
Locate the home phone cell on the form.
02
Write your home phone number including the area code.
03
Make sure the number is accurate and up to date.

Who needs home phone cell?

01
Individuals who want to provide an additional contact number for communication purposes.
02
People who prefer to be reached at their home phone instead of a mobile phone.
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Home phone cell refers to the primary contact number of an individual's residence.
Individuals who are filling out personal information forms or applications may be required to provide their home phone cell number.
To fill out the home phone cell section, individuals can simply input their home phone number where requested.
The purpose of home phone cell is to provide a means for individuals to be contacted at their primary residence.
The information reported on home phone cell is typically the landline telephone number associated with an individual's home address.
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