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59 Veronica Avenue, Suite 202 Somerset, NJ 08873 span.come: 732.828.3300 F: 732.937.5739Thomas Cagliari, MD, FA COG Joyce Varese, MD, FACOGGYNECOLOGY AND GYNECOLOGIC ONCOLOGY INTAKE FORM Name: ___
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What is pa-13 intake form?
The pa-13 intake form is a document used to collect information about individuals applying for public assistance.
Who is required to file pa-13 intake form?
Individuals seeking public assistance are required to file a pa-13 intake form.
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To fill out a pa-13 intake form, individuals must provide personal information, details about their household, income, and expenses.
What is the purpose of pa-13 intake form?
The purpose of the pa-13 intake form is to determine an individual's eligibility for public assistance.
What information must be reported on pa-13 intake form?
Information such as personal details, household composition, income, and expenses must be reported on the pa-13 intake form.
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