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HC 89 Box 8190 Mile 4. 4 Talkeetna Spur Rd Talkeetna AK 99676 Willow Clinic PO Box 1049 24091 Long Lake Road Willow AK 99688 Telephone 907-733-2273 Fax 907-733-1735 E-Mail SCHC sunshineclinic.org Patient Name Date of Birth Today s Date Do you like your smile YES No Please Explain Are you currently taking any blood thinners Yes Type No Do you have an allergies to medications YES Drug Type Reaction Health History Do you have or have you ever had problems with the following Please circle...
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HC 89 box 8190 is a tax form used to report certain financial information to the authorities.
Individuals or entities with specific financial transactions are required to file HC 89 box 8190.
HC 89 box 8190 must be filled out accurately and completely, following the instructions provided by the tax authorities.
The purpose of HC 89 box 8190 is to provide information on financial transactions for tax reporting purposes.
HC 89 box 8190 requires reporting of specific financial transactions, such as income, expenses, investments, etc.
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