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This form must be mailed by the Health Care Provider to: ... Does the patient have a physical, medical, or mental condition which, in your opinion, would prevent ...
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What is this form must be?
This form is a tax form.
Who is required to file this form must be?
Individuals and businesses who meet certain criteria.
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You can fill out this form online or by mail.
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The purpose of this form is to report income and expenses.
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Income, expenses, deductions, and credits.
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