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Patient Information FormDate: ___ Patient Name: ___ DOB: ___Age:___Preferred Name: ___ Sex:___Mailing Address: ___ Physical Address: ___ Home Phone #:___Cell Phone #:___Work Phone #:___EMail Address:
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Visit the Livingston County Catholic Charities website.
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Fill in your personal information, including name, address, and contact details.
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Include any relevant documentation, such as identification and proof of income.
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Submit the application either online or by mailing it to the designated office.

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Livingston County Catholic Charities is a non-profit organization that provides various social services, support, and assistance to individuals and families in need within Livingston County. Its services may include food assistance, housing services, counseling, and outreach programs.
Individuals and families seeking assistance from Livingston County Catholic Charities may be required to fill out forms to apply for services or benefits, depending on the specific program they are utilizing.
To fill out forms for Livingston County Catholic Charities, individuals should visit their official website or contact their office to obtain the necessary forms, follow the instructions provided, and provide accurate and complete information regarding their situation.
The purpose of Livingston County Catholic Charities is to serve those in need by providing essential services and support, promoting human dignity, and fostering community well-being through various outreach programs.
Information that may need to be reported includes personal identification details, income sources, family composition, and specific needs or circumstances that justify the request for assistance.
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