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PATIENT INFORMATION NAME: (M/F) DATE: HID#: Date of Birth: LMP: Tel#: REFERRING PHYSICIANPAYMENT:NAME & ADDRESS (CHOP & DRS SIGNATURE)ON ACCOUNTMEDICAL CARDIAC BY PATIENTClinical Information: History

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What is irad request form-20aug2015?

The irad request form-20aug2015 is a form used to request information from the IRS.

Who is required to file irad request form-20aug2015?

Taxpayers who need to obtain specific information from the IRS are required to file the irad request form-20aug2015.

How to fill out irad request form-20aug2015?

To fill out the irad request form-20aug2015, taxpayers must provide their personal information, the specific information they are requesting, and any supporting documentation.

What is the purpose of irad request form-20aug2015?

The purpose of the irad request form-20aug2015 is to allow taxpayers to request specific information from the IRS for tax-related purposes.

What information must be reported on irad request form-20aug2015?

Taxpayers must report their personal information, the specific information they are requesting from the IRS, and any supporting documentation on the irad request form-20aug2015.

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