Peccole adult 2025

1. Click ‘Get Form’ to open the peccole adult document in the editor.
2. Begin by filling in your personal information. Enter your last name, first name, middle initial, date of birth, age, and gender in the designated fields.
3. Complete the contact details section. Provide your address, phone numbers (home, work, and cell), and email address.
4. Fill out the insurance information. Include details for both primary and secondary insurance if applicable, such as subscriber's name and ID number.
5. In the social history section, indicate your marital status and living situation. Answer questions regarding alcohol consumption and tobacco use.
6. List any medications you are currently taking along with their dosages and reasons for use in the medications section.
7. Review all sections carefully before signing at the bottom of the form to acknowledge understanding of policies.

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