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Chelsea Skin & LaserPatient Registration / Acknowledgement of Office PoliciesLast Name ___ First Name ___ Middle Initial ___Address ___Apt ___ City ___ State ___ Zip ___
Sex___ M___ Date of Birth
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What is areas noted in red?
Areas noted in red are sections of a form or document that require special attention or action.
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All individuals or entities specified in the instructions of the form or document are required to file the areas noted in red.
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What is the purpose of areas noted in red?
The purpose of areas noted in red is to draw attention to important information or required actions.
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