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No Yes If Yes attach medical history. Prescription Information Medication Strength Rx 50 and/or 100mg vials Rx Epinephrine 1 1000 amp Total doses Requested Directions Quantity Inject 15mg/kg IM one time per month Inject 0. 01 mg/kg subcutaneously as directed for anaphylaxis Other QS to achieve15mg/kg dose Were previous injections including doses given in hospital No Yes Which months are requested for the 2016-2017 season Circle Nov. Dec. QS If yes please list dates Jan. Feb. 2016 2017 Season...
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What is 20162017 season?
The 20162017 season refers to the tax or financial reporting period from January 1, 2016 to December 31, 2017.
Who is required to file 20162017 season?
Individuals, companies, or entities that earned income or conducted financial transactions during the 20162017 season are required to file for that period.
How to fill out 20162017 season?
To fill out the 20162017 season, individuals or entities need to gather all relevant financial documents, income statements, and expense records for the period and accurately report them on the required tax or financial forms.
What is the purpose of 20162017 season?
The purpose of the 20162017 season is to accurately report financial information to the relevant authorities for tax assessment or financial analysis purposes.
What information must be reported on 20162017 season?
Information such as income earned, expenses incurred, assets owned, and liabilities during the 20162017 season must be reported on the relevant tax or financial forms.
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