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P AT I E NT I N T A KE I NO RM AT IO N NAME:SEX: M | Flat e : _ _ _ /_ _ _ /_ _ _DOB:AGE:Address:Postcode:Phone (Home):Phone (Work):Mobile:Email: Marital Status:Spouses Name:Children (List + Ages):
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The 316b formal intake structure is a form used to collect information on individuals who are seeking assistance from a particular organization or agency.
Individuals who are seeking assistance from a particular organization or agency are required to file the 316b formal intake structure.
The 316b formal intake structure can be filled out by providing accurate and detailed information about the individual seeking assistance.
The purpose of the 316b formal intake structure is to gather necessary information on individuals seeking assistance to determine their eligibility and needs.
Information such as personal details, financial status, health conditions, and reasons for seeking assistance must be reported on the 316b formal intake structure.
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