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THIS DOCUMENT MUST BE COMPLETED BY A PHYSICIAN (must not be completed by patient) DIAGNOSTIC IMAGING: COMPUTED TOMOGRAPHY (CT) Name of Ordering Physician OUTPATIENT SERVICES (Please Print) Name Signature
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What is this document must be?
This document must be a quarterly tax return form.
Who is required to file this document must be?
Businesses and individuals who have taxable income are required to file this document.
How to fill out this document must be?
This document must be filled out by providing details of income, expenses, and any deductions.
What is the purpose of this document must be?
The purpose of this document is to report taxable income to the government.
What information must be reported on this document must be?
Information such as total income, expenses, deductions, and tax owed must be reported on this document.
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