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Application for Residential Treatment Center Placement
(Must be completed by family)
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hf0114x137 bhrtcfamilydoc is a form used for reporting family medical expenses.
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Individuals who have incurred medical expenses for their family members are required to file hf0114x137 bhrtcfamilydoc.
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The purpose of hf0114x137 bhrtcfamilydoc is to report family medical expenses for tax or insurance purposes.
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Information such as name of family member, date of service, type of medical expense, and amount incurred must be reported on hf0114x137 bhrtcfamilydoc.
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