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2255 Broadway (at 81st Street) Suite 305 New York, NY 10024 Tel: 212.579.FLEX (3539) Fax: 212.579.3530 Joel×flexing.come.flexptny.com PATIENT INFORMATION First Name:EMAIL ADDRESS Last Name:Middle
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Intake form - flex is a form that allows individuals to provide information about their flexible spending account and request reimbursements for eligible expenses.
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The purpose of intake form - flex is to facilitate the reimbursement process for eligible expenses incurred by employees with flexible spending accounts.
Employees must report details of the expenses incurred, including the date, amount, and nature of the expense, as well as provide any supporting documentation required.
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