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(Newborn to 17 years of age) PAST HEALTH INFORMATIONPERSONAL INFORMATION NAME: (LEGAL FIRST) (MI)FAMILY DOCTOR/PEDIATRICIAN DRS NAME(LEGAL Last) CLINIC NAME/LOCATION DATE OF LAST VISIT ADDRESS:HAS
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Newborn to 17 years refers to individuals aged from 0 to 17 years old.
Parents or legal guardians of children aged from newborn to 17 years are usually required to file relevant information.
To fill out newborn to 17 years, parents or legal guardians need to provide information such as the child's personal details, medical history, education status, etc.
The purpose of newborn to 17 years is to keep track of children's development, health, and well-being, and to ensure they receive necessary support and services.
Information such as the child's name, date of birth, medical conditions, vaccinations, school information, and family contact details must be reported on newborn to 17 years.
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