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SOLOMON EYE PHYSICIANS & SURGEONS REGISTRATION FORM TODAYS DATE:PRIMARY CARE PHYSICIAN: PHONE #: LAST NAME:PATIENT INFORMATION MI: TITLE: MR. MRS.FIRST NAME:IS THIS YOUR LEGAL NAME?IF NOT, WHAT IS
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Solomon Eye Physicians amp is a form used to report financial interests and relationships held by physicians.
Physicians who have financial interests or relationships that must be disclosed are required to file Solomon Eye Physicians amp.
To fill out Solomon Eye Physicians amp, physicians must provide detailed information about their financial interests and relationships.
The purpose of Solomon Eye Physicians amp is to increase transparency regarding financial relationships in the medical field.
Physicians must report details about their financial interests, such as stocks, ownership interests, and payments received from pharmaceutical companies.
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