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Form HPEh12School Entrance Health Information Form Name: Birthdate: Mo. Day Yr. Last First Middle Sex: MaleFemaleRace: Parent or Guardian: Work Number: Last First Middle Home Number: Home Address:
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It is a form used for reporting taxable transactions related to health care services.
Health care providers and organizations that engage in taxable transactions.
The form must be filled out accurately with all relevant transaction details and submitted to the appropriate tax authority.
The purpose is to report taxable transactions related to health care services for tax compliance.
Details of taxable transactions, amounts involved, payer information, and other relevant details.
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