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Pediatric Patient Introduction Ages 517 Date of Birthrate: Address://Male / Female Best Number in which to contact you: Best Number in which to contact you:Mother Name: Father's Name: Home: Email:
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What is ages 5-17?
Ages 5-17 refers to children and teenagers between the ages of 5 and 17.
Who is required to file ages 5-17?
Parents or legal guardians of children and teenagers between the ages of 5 and 17 are required to file.
How to fill out ages 5-17?
To fill out ages 5-17, you must provide information about the child's name, date of birth, school attendance, and any other relevant information.
What is the purpose of ages 5-17?
The purpose of ages 5-17 is to track the education and well-being of children and teenagers within that age range.
What information must be reported on ages 5-17?
Information such as the child's name, date of birth, school attendance, and any special needs or accommodations must be reported on ages 5-17.
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