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Office Use Only Online PV Current/ Casual Usual Dr Data Checked Unit Date New Patient Form Administration Details We need this information to provide the best quality care. Our practice follows the

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How to fill out date day month year

How to fill out date day month year:

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Start by writing the numerical day of the month in the designated space. For example, if the current date is January 15th, you would write "15".

02

Next, write the abbreviated or full name of the month in the designated space. Using the previous example, you would write "Jan" or "January".

03

Finally, write the numerical year in the designated space. For example, if the current year is 2022, you would write "2022".

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