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___ Established Patient ___ __ **New Injury/New Problem**___ Patients Name: ___Date of Birth: ___/___/___Address: ___No ChangePhone #1: (___)___No Change No ChangeInsurance: ___ Height: ___Phone #2:
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Chapter 11 EM services refer to the electronic monitoring services provided under Chapter 11 of the bankruptcy code.
Any debtor who files for Chapter 11 bankruptcy is required to file Chapter 11 EM services.
Chapter 11 EM services can be filled out electronically through the designated platform provided by the bankruptcy court.
The purpose of Chapter 11 EM services is to ensure compliance with court-ordered monitoring requirements during the bankruptcy process.
Chapter 11 EM services typically require reporting of debtor's financial information, progress in reorganization, and other relevant data.
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