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Patient Financial Policy
Thank you for allowing us to care for you and your family. This letter will explain our
financial policies and your responsibilities related to your care and treatment.
Patient
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What is this letter will explain?
This letter will explain the process for filing a tax extension request.
Who is required to file this letter will explain?
Individuals or businesses who need additional time to file their tax return.
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The letter will provide detailed instructions on how to fill out the extension request form.
What is the purpose of this letter will explain?
The purpose of this letter is to request an extension of time to file a tax return.
What information must be reported on this letter will explain?
The letter must include basic identifying information, the reason for the extension request, and the desired extended deadline.
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