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This guide provides step-by-step instructions to help you effectively fill out the Is It Real document online. Following these clear instructions will ensure that you provide all necessary information accurately.

Follow the steps to complete the form seamlessly.

1. Click the ‘Get Form’ button to obtain the document and open it in your preferred editor.
2. Enter today's date in the specified field to provide the date you are filling out the form.
3. Fill in your practice name, chart number, and date of birth to help keep your information organized.
4. Provide your full name and Social Security number (SS#) in the respective fields for identification.
5. Select your sex and marital status by marking the appropriate boxes.
6. Enter the name of your spouse or partner, if applicable, and provide your contact information including email, cell number, and home number.
7. Fill in your complete address, including city, state, and zip code.
8. If applicable, give details regarding your employer and their address.
9. Indicate whether you are the insured by selecting the corresponding option.
10. Enter primary insurance details, including subscriber name, relationship to insured, and policy IDs.
11. Provide secondary insurance information if you have additional coverage.
12. Complete the section regarding how you found out about the practice and explain the reason for your visit.
13. Indicate how long you have experienced your current issue and describe treatments previously attempted.
14. Rate your level of pain on a scale from 1 to 10 and describe the pain quality.
15. Review the privacy information preferences and indicate your preferences for communication options.
16. Sign the form to confirm that all the information you provided is accurate to the best of your knowledge.
17. Once completed, you can save your changes, download the document, print it, or share it with the appropriate parties.

Complete your Is It Real document online today for a seamless experience.