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CONFIDENTIAL MEDICAL HISTORYPlease checkor use block letterFILE NUMBERREFERENCE: ___ PATIENTS FAMILY NAMEFIRST NAMEDATE OF BIRTHSEXMALE ADDRESS (Street, No., Apt) HOME TELEPHONECITY OFFICE TELEPHONEMOBILE

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Write the street address on the next line.

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What is addresses - california secretary?

Addresses filed with the California Secretary of State are the official contact information for a business entity registered in California.

Who is required to file addresses - california secretary?

All business entities registered in California are required to file addresses with the California Secretary of State.

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Addresses can be filled out online through the California Secretary of State's website or by submitting a paper form by mail.

What is the purpose of addresses - california secretary?

The purpose of filing addresses with the California Secretary of State is to ensure that the state has accurate contact information for business entities operating within its jurisdiction.

What information must be reported on addresses - california secretary?

The information that must be reported on addresses includes the business entity's name, address, phone number, and email address.

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