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NEW PATIENT INFORMATION & MEDICAL HISTORY (PAGE 1 OF 2) PATIENT DEMOGRAPHICS Name: ___ Birthday: ___ /___ /___ Mailing Address: ___ City: ___ State: ___ Zip: ___ Home Phone: () ___ ___ Cell Phone:
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How to fill out preferred telephone contact

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Begin by accessing the designated section for updating contact information on the relevant platform or document.
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Look for the field specifically labeled 'Preferred Telephone Contact'.
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Input the preferred telephone number in the designated format (e.g. country code + area code + phone number).
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Save the changes to ensure the preferred telephone contact information is updated successfully.

Who needs preferred telephone contact?

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Anyone who wishes to ensure that they can be easily contacted via phone calls may need to provide their preferred telephone contact.
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Preferred telephone contact refers to the designated phone number that an individual or organization identifies as the primary method for being reached or contacted.
Individuals and organizations that are part of a regulatory or reporting requirement are typically required to file their preferred telephone contact.
To fill out the preferred telephone contact, provide accurate contact information including the country code, area code, and the full phone number. Ensure it is clearly labeled as the preferred contact number.
The purpose of preferred telephone contact is to ensure that there is a reliable and efficient means of communication for inquiries, updates, or notifications regarding specific matters.
Information that must be reported includes the full telephone number, type of contact (e.g., mobile, landline), and any relevant identifiers necessary for reaching the person or organization.
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