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NAME: Financial iPhone: 5089298056 Fax: 5089298194 ID#: FAC18PC12018/2019 PARENT SPECIAL CIRCUMSTANCES for 2017 INSTRUCTIONS: According to federal laws and regulations, a family 2016 income is used
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Anyone seeking healthcare services or resources within a specific locality may be required to file local health-care options.
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Information such as the individual's name, contact information, medical history, insurance details, and healthcare preferences may need to be reported on local health-care options.
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