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THERMAL SPEECH/LANGUAGE PATHOLOGY, P.C. 150-50 14th Road White stone, NY 11357 Tel: (718) 767-0091/0071 Fax: (718) 767-0086 SPEECH/LANGUAGE/SWALLOWING EVALUATION Adult Intake Form GENERAL INFORMATION
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An adult questionnaire-in is a form that gathers information about adults for various purposes.
Any individual or organization that needs to collect information about adults for a specific purpose is required to file the adult questionnaire-in.
To fill out the adult questionnaire-in, individuals or organizations must provide accurate information about the adults being surveyed.
The purpose of the adult questionnaire-in is to gather relevant information about adults to make informed decisions or assessments.
The information reported on the adult questionnaire-in may include demographic data, personal preferences, or other relevant details about the adults being surveyed.
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