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CURRENT COMPLAINTS Patient s Name: Date: Please indicate the current complaints you are experiencing by marking the areas on the image below and providing details using the sections that follow. 1.
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Start by carefully reading the instructions provided on the form.
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Fill in the required personal information, such as your full name, address, and contact details.
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Provide accurate information about your current position or occupation.
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Please indicate form current is a form used to report current information.
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