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AMERICAN OSTEOPATHIC ASSOCIATION SEGREGATED TOTAL FORM FOR NEUROLOGY? ? Training Institution Address, City, State Report Period: From: To: Hospital (s) utilized for outside rotation: ? INSTRUCTIONS:
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The segregated total form is used to report the total amounts segregated or set aside for specific purposes or activities.
Any individual or organization that has segregated or set aside funds for specific purposes or activities is required to file the segregated total form.
To fill out the segregated total form, you need to provide the details of the segregated amounts, the purpose for which the funds are set aside, and any other relevant information as specified by the form's instructions.
The purpose of the segregated total form is to ensure transparency and accountability in the use of segregated funds by reporting the total amounts and the purposes for which they are set aside.
The segregated total form requires reporting of the total amounts segregated, the purpose for which the funds are set aside, and any other relevant information as specified by the form's instructions.
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