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Get the free Hawaii State Department of Education PHYSICAL EXAMINATION FOR ATHLETES

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MEDICAL HISTORY FORM Name: ___ [Last] [First] [Middle] Date: ___ Date of Birth: ___ Height in feet: ___ Inches: ___ Weight (lbs):___ Who referred you to us? ___ PLEASE CIRCLE YOU RESPONSES (YES, NO,
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The Hawaii State Department of Taxation.
All individuals and businesses earning income in Hawaii are required to file the Hawaii State Department of Taxation.
You can fill out the Hawaii State Department of Taxation online or by mail.
The purpose of the Hawaii State Department of Taxation is to collect taxes to fund state programs and services.
Income, deductions, credits, and any other relevant financial information must be reported on the Hawaii State Department of Taxation.
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