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Please Complete All Sections on All Pages Indicate None Where Applicable Check box if New Patient CELL PHONE # ___PreferredAlternateHOME PHONE # ___PreferredAlternateEMAIL ADDRESS___BIRTH DATE___PATIENTS
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What is indicate none where applicable?
Indicate none where applicable is a section in a form or document where you specify if certain criteria do not apply to you.
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Individuals or entities who are completing a form or document that includes the indicate none where applicable section are required to fill it out.
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The purpose of indicate none where applicable is to ensure that all relevant information is provided, and to clarify if certain aspects do not apply to the individual or entity.
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The information that must be reported on indicate none where applicable is any criteria or requirements listed on the form or document that do not apply.
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