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HEALING PATHS NATUROPATHIC CARE Michelle Hope, ND 1140 S. Linden Rd. Building A Flint, MI 48532 810 9222850 AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION TO: (Doctor Hospital in possession of the
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Read through the instructions on the form carefully to understand what information is required and how to fill it out correctly.
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Begin by filling out your personal information, such as your full name, address, phone number, and email address.
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If applicable, provide details about your current health insurance coverage, including the name of the insurance company and your policy number.
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Form Natural Choice Health is a document used to report health insurance coverage.
Employers who provide health insurance coverage to their employees are required to file Form Natural Choice Health.
Form Natural Choice Health can be filled out electronically or manually, following the instructions provided by the IRS.
The purpose of Form Natural Choice Health is to report information about health insurance coverage provided to employees.
Form Natural Choice Health requires information about the employer, employees, and the health insurance coverage provided.
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