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PATIENT REGISTRATION Welcome! Thank you for completing this confidential Date information to help us better serve your dental needs. PATIENT INFORMATION Name Phone Address OtherFIRSTMIDDLELASTNICKNAMEHOMEWORKCELLEMAILSTREETCITYSTATEZIP
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Michigan Avenue Dental Associates is creating a new dental office location in downtown Chicago.
The clinic manager and head dentist of Michigan Avenue Dental Associates are required to file the necessary paperwork for creating a new office location.
To fill out the paperwork for creating the new office location, the clinic manager and head dentist must provide details about the location, equipment, staffing, and services offered.
The purpose of creating a new office location for Michigan Avenue Dental Associates is to expand their services to reach more patients in the downtown Chicago area.
The information that must be reported includes the address of the new location, list of equipment and services provided, staffing details, and estimated opening date.
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