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John M. Elliott, M.D. Judy M. Dance, M.D. PATIENT INFORMATION FORM MAN: Apt Date: Apt Time: Last Name: Social Security #: Appetite First Name: Mid. Initial: Date of Birth: Home Address: Patient MI
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Elliott M is a financial disclosure form required to be filed by certain individuals holding positions of authority.
Individuals holding positions of authority such as executives, directors, and certain employees are required to file Elliott M.
Elliott M can be filled out online or submitted through mail with the required financial information and disclosures.
The purpose of Elliott M is to increase transparency and accountability of individuals in positions of authority by disclosing financial information.
Financial information such as assets, income, liabilities, and transactions must be reported on Elliott M.
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