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  • Patient Information Date: Name: Birthdate: Social Security Number: Male Age: Female Address: City

Get Patient Information Date: Name: Birthdate: Social Security Number: Male Age: Female Address: City

PATIENT INFORMATION Date: Name: Birthdate: Social Security Number: Male Age: Female Address: City: State: Zip: Home: ( ) Cell: ( ) Work: ( ) Email: Cell Carrier: Preferred method of contact: Home.

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General Comment: The Social Security Number is used as a patient identifier by many Health Care Organizations and their EHRs and other HIT systems.

The Social Security Number (SSN) system does not exist in India. However, India has a system for individual identification numbers called Aadhar. The Unique Identity Authority of India (UIDAI) assigns residents of India an Aadhar, a 12-digit unique identity number based on their bio metric and demographic information.

The Social Security number is a nine-digit number in the format "AAA-GG-SSSS". The number has three parts: the first three digits, called the area number because they were formerly assigned by geographical region; the middle two digits, the group number; and the last four digits, the serial number.

Since 2011 Social Security numbers can now use “7” and “8” for the first digit regardless of region or type of employment. However, no Social Security Numbers will be issued with “9” as the first digit or starting with “000” or “666”.

The SSN was added to the California Hospital Discharge Data Set (CHDDS) as an identifier to link episodes of care over time and across providers in order to support research addressing the quality of medical care in California hospitals.

Social Security Number (SSN) System as a uniquely identity is prevalent only in the United States of America. You can't get it in India. For example, citizen service number (BSN) is a unique personal number allocated to everyone registered in the Municipal Personal Records Database in the Netherlands.

The SSN Numbering Scheme The nine-digit SSN is composed of three parts: The first set of three digits is called the Area Number. The second set of two digits is called the Group Number. The final set of four digits is the Serial Number.

Social Security Place of Issue Lookup Enter the first three digits of a U.S. Social Security number in question. Click on the Search button. See the corresponding state or territory in the field.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232