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Mainly Kids PT 895 Portland Rd, Sack ME 04072 pH (207) 4395104 Fax (207) 5718134 www.mainelykidzpt.com Client Information Sheet Today's Date Client Name: Male/Female First, MI, Last DOB: (Please circle)
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Start by obtaining the mainely kidz pt form from the appropriate source. This could be the mainely kidz website, a healthcare provider, or a related organization.
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Read through the form carefully to understand the information and sections required. Make sure you have all the necessary documents and details readily available before you begin.
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Begin by providing your personal information, such as your full name, date of birth, contact information, and address. Fill out each section accurately and double-check for any mistakes or missing information.
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Depending on the mainely kidz pt form, you may need to provide additional details such as your medical history, previous treatments, allergies, or any specific concerns or goals you have for the physical therapy.
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In the case of a minor, a legal guardian or parent will need to provide their information and consent as well. Ensure that all required signatures are properly obtained.
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Who needs mainely kidz pt:

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Children or adolescents who require physical therapy services can benefit from mainely kidz pt. This could include individuals with developmental delays, musculoskeletal conditions, sports injuries, or neurological disorders.
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Mainely kidz pt is a childcare tax credit program in the state of Maine.
Parents or guardians who have qualifying childcare expenses for their children.
Mainely kidz pt can be filled out online through the Maine Revenue Services website or by mailing in a paper form.
The purpose of mainely kidz pt is to provide financial assistance to families for childcare expenses.
Information such as the childcare provider's name and address, the amount of childcare expenses paid, and the Social Security number for each child must be reported on mainely kidz pt.
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