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HEALTH SCREENING Name: Parent or Guardian: Address: Phone # : Date of Birth Physician: Clinic: Medical History (Check those you have or have had) Arthritis Chronic Cough Fainting Spells Rheumatic
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Who needs name parent or guardian?
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Anyone under the age of 18 who is filling out a form may need to provide the name of their parent or legal guardian.
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Individuals who are unable to legally enter into a contract may also need to provide this information.
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What is name parent or guardian?
Name parent or guardian refers to the individual responsible for the care and well-being of a child.
Who is required to file name parent or guardian?
The parent or legal guardian of the child is required to provide their name.
How to fill out name parent or guardian?
You can fill out the name parent or guardian by writing down the full name of the parent or legal guardian of the child.
What is the purpose of name parent or guardian?
The purpose of providing the name parent or guardian is to establish responsibility and accountability for the child.
What information must be reported on name parent or guardian?
The full name of the parent or legal guardian must be reported.
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