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Appointment Day: Date: 10305 SW Park Way, Suite 203 Portland, OR 97225 Phone: 503.223.8333Time:Dear New Patient: ___ We would like to welcome you to Portland Oculoplastics, P.C. This letter is to

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What is this letter is to?

This letter is to request additional information from the recipient.

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This letter is to be filled out by providing the requested information in the indicated fields.

What is the purpose of this letter is to?

The purpose of this letter is to gather specific information needed for further processing.

What information must be reported on this letter is to?

The information required to be reported on this letter includes personal details, work history, and contact information.

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