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We are in the process of updating our patient demographics, so we need all of our patients to assist us by filling out the below information:Patient Name: Account Number: Patients AddressPatients
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We are in form is a government form used to report information about individuals or entities who have financial interests or signature authority in foreign financial accounts.
Any U.S. person with foreign financial accounts that exceed certain thresholds during the year is required to file the we are in form.
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