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PATIENT REGISTRATION FORM 1. PATIENT: DOB: / / F M (FIRST NAME)(MIDDLE INITIAL)Language: English Spanish Chinese Hindi Ethnicity: Hispanic NonHispanic Unknown French(LAST NAME)ASL (Sign language)
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What is parent legal guardian contact?
Parent legal guardian contact is the information of the individual(s) who have legal custody of a minor.
Who is required to file parent legal guardian contact?
Anyone responsible for the care and custody of a minor is required to file parent legal guardian contact.
How to fill out parent legal guardian contact?
Parent legal guardian contact can be filled out by providing the names, contact information, and relationship to the minor of the individual(s) with legal custody.
What is the purpose of parent legal guardian contact?
The purpose of parent legal guardian contact is to ensure that the school or organization has accurate and up-to-date information for emergencies and important communications.
What information must be reported on parent legal guardian contact?
The information reported on parent legal guardian contact typically includes the names, phone numbers, addresses, and relationship to the minor of the individual(s) with legal custody.
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