Form 708 is a document that must be filed with the IRS to report estate and gift taxes. This form is used to report the taxable estate, any gifts made during the year, and any tax due. The deadline for filing Form 708 is April 15th of the following year. Penalties may be assessed for late or incomplete filings. It is important to understand the requirements for filing this form so that you can avoid penalties and accurately report your taxes.
| Question | Answer |
|---|---|
| Form Name | Form 708 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | OS, Hemoglobin, Orthopedic, hospitalized |
HUTCHINSON PUBLIC SCHOOLS
PHYSICAL EXAMINATION RECORD
Child’s Name ____________________________ Age _____ Date of Birth ________________
Mo Day Year
Parent’s Name ___________________________ Address __________________ Phone _______
Check the following conditions and diseases the child has had: |
|
|
|||
Conditions: |
|
|
|
Diseases: |
|
Allergies |
_____ |
Heart |
_____ |
Chicken Pox |
_____ |
Asthma |
_____ |
Hernia |
_____ |
Rheumatic Fever |
_____ |
Diabetes |
_____ |
Kidney |
_____ |
Scarlet Fever |
_____ |
Epilepsy |
_____ |
Orthopedic |
_____ |
|
|
Has this child ever been hospitalized _______ Why? __________________________________
MEDICAL EXAMINATION BY HEALTH CARE PROVIDER
Height: _____ |
Weight: _____ |
Vision: OD 20/_____ |
OS 20/_____ |
OU 20/_____ |
COMMENTS
Eyes _________________________________________________________________________
Ears _________________________________________________________________________
Nose _________________________________________________________________________
Throat ________________________________________________________________________
Teeth ________________________________________________________________________
Heart _________________________________________________________________________
Lungs ________________________________________________________________________
Skin _________________________________________________________________________
Hernia ________________________________________________________________________
Genitalia ______________________________________________________________________
Orthopedic ____________________________________________________________________
Speech _______________________________________________________________________
LABORATORY TESTS
Hemoglobin ________________________________ U.A. ___________________________
Are there any activities in which this student should not participate?
______________________________________________________________________________
______________________________________________________________________________
Date: __________________________ _____________________________________________
Health Care Provider
Address: _____________________________________
City, State ____________________________________
Phone: ______________________________________
Form 708 Rev. 3/08