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Any revocation will not affect disclosures made prior to Tidewater Gastroenterology s receipt or knowledge of the revocation. Unless I revoke this authorization prior to such a time this authorization shall expire 90 days if left blank from the date of my signature. D. F.A. C. P. Walid F. Makdisi M. D. Brian M. Sullivan M. D. Shoba Mendu M. D. Rene J. Rivera MD Jeremy P. I Signature of patient or patient s authorized representative Date Printed name of patient s representative if applicable...
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What is gamsey m?
Gamsey M is a financial disclosure form used to report financial assets and income for individuals or entities.
Who is required to file gamsey m?
Any individual or entity with financial assets or income above a certain threshold is required to file Gamsey M.
How to fill out gamsey m?
Gamsey M can be filled out online through the designated government website or submitted in person at the relevant government office.
What is the purpose of gamsey m?
The purpose of Gamsey M is to increase transparency and prevent corruption by ensuring that individuals or entities accurately report their financial information.
What information must be reported on gamsey m?
Information such as financial assets, income sources, investments, and liabilities must be reported on Gamsey M.
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