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Preferred Pediatrics PATIENT INFORMATION Last NameFirst Name Date of Biosocial Security #Physical Address. I. GenderCityStateHome Phone NumberZipEmailEmergency Contact NameEmergency Phone(Other than
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Oformr than parent is required by individuals or entities who are legally responsible for providing information about their child or dependent. This can include parents, legal guardians, or other individuals who have the legal authority to act on behalf of the child or dependent.
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oformr than parent is a form used to report information about individuals who are required to file a tax return but cannot be claimed as a dependent by another taxpayer.
Individuals who are not eligible to be claimed as a dependent by another taxpayer are required to file oformr than parent.
oformr than parent can be filled out by providing personal information, income details, and any other required information accurately.
The purpose of oformr than parent is to ensure that individuals who are required to file a tax return do so accurately and on time.
Information such as personal details, income, deductions, and credits must be reported on oformr than parent.
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