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Date 3516 12th Ave NE * Olympia, WA 98506 × 3604561600 PATIENTS INFORMATION: First name MI Last name Date of birth M/F Street/PO Box City State Zip Home phone numberOther Children (seen as patients):
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Oformr children are seen as dependents on a form for tax purposes.
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Parents or guardians who are claiming the children as dependents on their tax return are required to file oformr children seen as.
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To fill out oformr children seen as, the taxpayer must provide the children's information, such as name, date of birth, social security number, and relationship to the taxpayer.
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The information that must be reported on oformr children seen as includes the children's names, dates of birth, social security numbers, and relationship to the taxpayer.
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