Street Address 2

Field Length: 40

This field provides space to record additional address information, such as the name of a nursing home, apartment complex, etc. This line will not be displayed on mailing labels. If the patient has both a PO Box (for a mailing address), and a street name and number (for a living address), put the street name and number on address-line 2. Update this item if the patient’s address changes. Leave this field blank if the additional address space is not needed.