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NEW ADULT PATIENT Name: Date of Birth: If minor, Accompanying Adults Name: Today's Date: Please tell us the REASON FOR TODAYS VISIT or any special concerns you would like to discuss with your doctor
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How to fill out if minor accompanying adults:

01
Ensure that all required information is accurately provided for both the minor and the accompanying adult. This includes their full names, dates of birth, contact information, and any special requirements or medical conditions.
02
Specify the purpose of the trip and the duration of the minor's stay. Indicate whether they will be traveling for tourism, education, medical treatment, or any other purpose.
03
State the relationship between the minor and the accompanying adult. This could be a parent, guardian, relative, or authorized individual responsible for the minor during the trip.
04
Provide details about the accommodation arrangements for the minor. Include the address of the place where they will be staying and the contact information of the person responsible for their care.
05
Attach any necessary supporting documents, such as consent letters from parents or legal guardians allowing the minor to travel with the accompanying adult. These letters should include the contact information of the parents or legal guardians and their signatures.
06
Verify that all information provided is accurate and double-check for any missing or incomplete fields before submitting the form. Make sure to keep copies of all documents submitted for future reference.

Who needs if minor accompanying adults:

01
Parents or legal guardians who are unable to accompany their minor child due to work or personal commitments may need to fill out this form to authorize another adult to travel with the minor.
02
Schools or educational institutions organizing field trips or study abroad programs may require the completion of this form to ensure that minors are in the care of authorized adults during the trip.
03
Medical facilities or organizations facilitating treatment or medical care for minors may also require the form to be filled out to ensure that an accompanying adult is responsible for the minor's well-being and medical needs.
04
Individuals or organizations organizing group tours or excursions where minors are present may require the completion of this form to ensure that responsible adults are designated to supervise and care for the minors throughout the trip.
Remember, it is essential to check the specific requirements and regulations of the destination country or organization to ensure accurate completion of the form.
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If minor accompanying adults refers to the situation where a minor is traveling with adults who are not their parents or legal guardians.
The adults who are responsible for the minor accompanying adults are required to file the necessary documentation.
The form for if minor accompanying adults must be completed accurately and submitted along with any supporting documents.
The purpose of if minor accompanying adults is to ensure the safety and well-being of minors traveling with adults who are not their legal guardians.
The form for if minor accompanying adults typically requires information such as the names and contact information of the adults accompanying the minor, as well as any relevant travel details.
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