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  • Pediatric Intake Form - Strive Chiropractic

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PEDIATRIC INTAKE FORM Date: PERSONAL INFORMATION Child s First Name: M.I.: Last Name: Preferred Name: Social Security Number: Address: City / State / Zip: Birth Date: Age: Sex: M F # of Siblings:.

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invented and not true or not existing: He dismissed recent rumors about his private life as fictitious. Characters in this novel are entirely fictitious.

Fictitious is used to describe something that is false or does not exist, although some people claim that it is true or exists. We're interested in the source of these fictitious rumors. 2. adjective. A fictitious character, thing, or event occurs in a story, play, or movie but never really existed or happened.

Data pertains to applications reviewed 09/22/2023 through 09/28/2023: Processing TimesApplication TypeAverage Processing Time as of 09/28/2023*Postgraduate Training License Application139 DaysTransition from a PTL to a Physician's and Surgeon's License Application101 Days2 more rows

What is a fictitious name? A fictitious name (also known as a“doing business as” or “dba”) is: Different from your personal name, if doing business as a sole proprietor. Different from your entity's legal name, if you have incorporated or otherwise formed a separate legal business entity.

The purpose of a Fictitious Name Permit (FNP) is to allow a licensed physician and surgeon or podiatrist to practice under a name other than their own.

A fictitious name is an artificial name deliberately created or adopted. For example, a business may have a fictitious business name. Fictitious names may also be used when filing a lawsuit against someone whose name is unknown to the plaintiff or to conceal a person's identity.

Complete the form entitled, Application for Cancellation of a Fictitious Name Permit . The form must be signed by at least one physician who is recognized by the Board as being a current owner. Mail, email or fax the form to the information listed at the top of the application. There is no fee to cancel the permit.

On this page you'll find 32 synonyms, antonyms, and words related to fictitious name, such as: alias, anonym, assumed name, false name, and pseudonym.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232