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November 26, 2017, Dear, Pending your insurance authorization and preoperative clearance, you are scheduled for Laparoscopic Sleeve Gastrectomy on:. You will need to report to the hospital by:. Parking:
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You will need to provide all necessary information for the filing.
Anyone who meets the criteria set forth by the regulations.
You can fill out the form online or by mail, following the instructions provided.
The purpose is to gather important information for regulatory compliance.
You must report any relevant financial and personal information.
The deadline is typically April 15th of each year.
The penalty varies depending on the amount of time past the deadline.
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