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Tammy UK, M.D., P.A. Board Certified General Surgery 601 E Dixie Ave Suite 801 Leesburg, FL 34748 Phone: 3523231405 Fax: 3523231451 PATIENT INFORMATION TODAYS DATE: / / REFERRING PHYSICIAN? PRIMARY
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Begin by entering your personal information, including your full name, date of birth, and contact information.
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Provide your healthcare provider with your medical history, including any past illnesses, surgeries, or chronic conditions you may have.
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Sign and date the form to indicate that the information provided is accurate and complete.
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Once you have filled out the pt info luk form, return it to your healthcare provider, who will keep it on file for future reference.

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Pt info luk stands for Personal Income Tax Information Declaration.
All individuals who earn income are required to file pt info luk.
Pt info luk can be filled out online through the government's tax portal or submitted in person at a tax office.
The purpose of pt info luk is to declare personal income for taxation purposes.
On pt info luk, individuals must report their total income, deductions, and tax credits.
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