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This two-page form should be read with the accompanying information/letter about the visit. All sections must be completed. Please answer with details or by stating N/A (Not Applicable) for the medical
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This information is a request for financial disclosure.
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The information can be filled out online through a secure portal or submitted in physical form.
The purpose is to ensure transparency and accountability in financial dealings.
Details of income, assets, liabilities, and financial transactions must be reported.
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