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Get and Sign Data Intake Form
May we call At Home At Work At Cell Person Responsible for Payment Relationship Street Address Apt Employer or School Occupation Address Spouse s or Parents Name Spouse s DOB // SSN -- Spouse Employer Occupation City Work Phone -- Emergency Contact Relationship Phone -- Primary Care Physician Phone -- Pharmacy Phone-- Are you required by a judge the police or a probation/parole officer to have the appointment Yes No Is the problem related to an accident or injury Yes No If yes is it automobile...
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There is a method.First: Go to google and search how to create a PDF or Word document from HTML using PHP or Javascript.Results from my search below.search text -> php/javascript create word documenthttps://www.google.com/search?nu...search text -> php/javascript create pdfhttps://www.google.com/search?nu...Second: Code it. -
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