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Office of Human Resources Director: 6077772187 Employment: 6077772186 Benefits: 6077774850 Payroll: 6077772122 PO Box 6000 Binghamton, New York 139026000 Phone: 6077772187 Fax: 6077774947 Confidential

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What is confidential medical statement for?

It is a document to disclose confidential medical information for specific purposes.

Who is required to file confidential medical statement for?

Individuals who need to provide confidential medical information for specific reasons.

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Fill out the required fields with accurate and up-to-date medical information.

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To ensure that relevant medical information is provided for specific purposes while maintaining confidentiality.

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Medical conditions, treatments, medications, and any other relevant medical information.

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