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WELCOME TO OUR PRACTICE New Patient Questionnaire Children 17 or younger Today's date: PATIENT INFO: Last name Age MR#: First Name Birth Date MI Social Security # Sex: M F Yes No Drivers LIC # Home
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How to fill out children 17 or younger:

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Gather all necessary personal information such as their full name, date of birth, and social security number.
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Provide details about their relationship to you, such as whether they are your biological child, stepchild, or adopted child.
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Indicate whether they are a dependent or independent for tax purposes. If they are dependent, provide information about their living arrangements and financial support.
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Include any income or assets the child may have, such as wages from a part-time job or investments in their name.
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Report any education-related expenses for the child, such as tuition fees or student loan interest.
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If applicable, mention any disabilities or special needs the child may have that qualify for additional tax deductions or credits.
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Double-check all the information provided to ensure accuracy before submitting the form.

Who needs children 17 or younger:

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The main individuals responsible for filling out information about children 17 or younger are typically their parents or legal guardians.
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This applies to anyone who has legal custody over the child, whether they are biological parents, adoptive parents, or stepparents.
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The information about children 17 or younger is generally needed for purposes such as tax filing, claiming dependents, and determining eligibility for certain benefits or credits.
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Children 17 or younger refer to individuals who are under the age of 18.
Parents or legal guardians of children 17 or younger are required to file their information in relevant forms.
To fill out information on children 17 or younger, parents or legal guardians must provide details such as their full name, date of birth, and relationship to the filer.
The purpose of including children 17 or younger in filings is to accurately capture the dependents of the filer for tax or other purposes.
Information such as name, date of birth, relationship to filer, and any other relevant details must be reported on children 17 or younger.
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