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IM365 with Dr. Dennis Jordanides 500 Superior Ave Ste 135 Newport Beach CA 92663 949 734-7446 AUTHORIZATION TO SHARE PATIENT INFORMATION Name LAST FIRST MIDDLE Date of Birth Phone Messages Is there a phone number where Dennis Jordanides M. D. Inc can leave messages with and share patient information Relationship to Patient Expiration This authorization expires Until further notice Insert date Patient Signature Date If signed by other than patient indicate legal relationship Witness Signature...
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im365 with dr stands for Income Tax Return for Individuals with Dr. It is a form used by individuals in the medical field to report their income and expenses to the tax authorities.
Individuals who work in the medical field, such as doctors, nurses, and other healthcare professionals, are required to file im365 with dr.
To fill out im365 with dr, individuals must gather all their income and expense records for the tax year, and then follow the instructions provided on the form.
The purpose of im365 with dr is to accurately report the income and expenses of individuals in the medical field, so that the correct amount of tax can be calculated and paid.
On im365 with dr, individuals must report their income from medical services, any expenses related to their work, and any other relevant financial information.
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