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Dr. Susie S. Hayden Dr. Renee T. MikulecDr. Courtney L. Alexander Patient Packet Patient Information Patient Name: Today's Date: LastFirstMIPreferred Name: Gender: Birth Date: Primary Number: (C/W/H)
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Susie S is a form used for reporting certain financial information to the government.
Certain individuals and entities are required to file Susie S, such as businesses and organizations that meet specific criteria.
Susie S can be filled out electronically or on paper, following the instructions provided by the government.
The purpose of Susie S is to report financial information to the government for tax or regulatory purposes.
Information such as income, expenses, and other financial data must be reported on Susie S.
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