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Encompass Fertility Fax: 8553222087 Phone: 8554439944 Patient Demographics Last Name: First Name: DOB: Street Address: City: State: Zip: Home Phone: Cell Phone: Work Phone: Patient Clinical Information

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Fertility - bencompassrxb is a form used to report fertility information for tax purposes.

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To fill out fertility - bencompassrxb, you will need to provide details of fertility expenses incurred during the tax year.

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Information such as the total fertility expenses incurred, receipts of fertility treatments, and any insurance coverage should be reported on fertility - bencompassrxb.