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Return by July 31st to:REPORT OF MEDICAL HISTORYStudent Health Center 204 W. Washington Street Lexington, VA 24450 Fax: (540) 4588404 studenthealth@wlu.edu Phone: (540) 4588401This form is to be reviewed
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How to fill out date of birth report

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Start by writing the month of birth in the designated field.
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Next, write the day of birth in the appropriate space provided.
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Lastly, indicate the year of birth in the specified area on the report.

Who needs date of birth report?

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Government agencies for official records
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Hospitals for patient registration
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Employers for employee identification purposes
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A date of birth report is a formal document that records an individual's birth date, typically required for legal, administrative, or statistical purposes.
Parents, guardians, or authorized representatives are typically required to file the date of birth report on behalf of a newborn or individual.
To fill out a date of birth report, one must provide information such as the individual's full name, date of birth, place of birth, parents' names, and any additional identification numbers required by the relevant authorities.
The purpose of a date of birth report is to provide a legal record of an individual's birth, which is essential for establishing identity, eligibility for services, and citizenship.
The information that must be reported typically includes the individual's full name, date of birth, place of birth, parents' names, and other identifying information as required by local laws.
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