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Personal Health & Medical Summary All information on this form will be held in confidence To be completed by Client, Guardian or Parent (if child is under the age of 18) CLIENT INFORMATION Name: D.O.B:
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Consistent with Victorian government refers to following the rules and regulations set by the government of the state of Victoria.
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Any individual or business that operates within the state of Victoria is required to file consistent with the Victorian government.
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Information such as financial records, business activities, and any other relevant data as required by the government must be reported on consistent with Victorian government.
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