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TMJ Questionnaire Patient Name: ___ Date: ___CHIEF COMPLAINT What is the main problem that brings you here? ___ ___Does this problem begin:How long have you been bothered by this problem? YEARSMONTHSSUDDENLY

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Type Form Location and refers to a specific tax form used for reporting certain information related to a business's location.

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Information such as business addresses, nature of business activities, and other identifiers must be reported on Type Form Location and.

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