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Patient Registration PATIENT INFORMATION Child 1: Last Name: First Name: MI: D.O.B.: / / Sex: M/F Ethnicity: Hispanic / NonHispanic / Unknown Primary Language: Race: Asian / Black / Pacific Islander
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How to fill out child 1 last name:

01
Locate the section on the form that asks for the child's last name. This is usually designated as "Child 1 Last Name" or "Last Name of Child 1".
02
Write the child's legal last name in the designated space. It is important to use the child's official last name as it appears on their birth certificate or legal documents.
03
Double-check the spelling of the child's last name to ensure accuracy. Mistakes or misspellings can cause complications later on.
04
Confirm that the last name provided for Child 1 matches the last name of at least one parent or legal guardian. In some cases, both parents may have different last names, so it's essential to clarify which last name the child will be using.
05
If the child has a hyphenated last name, include both parts of the name in the designated space, separated by a hyphen.
06
If the child has a different last name due to adoption or other legal reasons, provide the new last name as instructed on the form, and include any supporting documentation if required.

Who needs child 1 last name?

01
Parents or legal guardians filling out official forms or documents for the child will need the child's last name. This includes applications for school enrollment, medical records, government documents, and legal paperwork.
02
Educational institutions may require the child's last name for admission or registration purposes.
03
Healthcare providers, including doctors, hospitals, and clinics, may need the child's last name for medical records and insurance purposes.
04
Government agencies, such as the Social Security Administration or Department of Motor Vehicles, may require the child's last name for identification and documentation purposes.
05
Legal professionals, such as lawyers or judges, may need the child's last name for court proceedings or legal matters involving the child.
06
In some cases, relatives or extended family members may need the child's last name for genealogical or family record purposes.
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Child 1 last name is the surname or family name of the first child.
The parents or legal guardians are usually required to provide the child's last name.
You can fill out the child's last name on official forms, documents, or applications.
The purpose of specifying the child's last name is to help identify and differentiate individuals.
The child's full last name or surname must be reported.
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