HEALTH CARE EXPENSE WORKSHEET-form 1200-2026

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  1. Click ‘Get Form’ to open the HEALTH CARE EXPENSE WORKSHEET-form 1200 in the editor.
  2. Begin by entering the child's name and the date of service in the designated fields. This information is crucial for identifying the expenses related to your child.
  3. Next, input the name of the healthcare provider and specify what the expense was for. This helps clarify the nature of the charges incurred.
  4. Record the original total charge by the provider in the appropriate field. Then, subtract any amount that insurance has paid to find out your uninsured amount.
  5. If applicable, subtract any balance of 'ordinary' health care expenses from this amount to determine your uninsured 'extraordinary' health care expense.
  6. Enter each parent's percentage of extraordinary health care expenses as per court order. Multiply this percentage by the total uninsured bill to calculate what each parent owes.
  7. Finally, ensure you check who prepared the form and provide it to the other parent along with copies of relevant bills and explanations from insurance.

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