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SEC Form 5UNITED STATES SECURITIES AND EXCHANGE COMMISSIONER 5
Check this box if no longer subject
to Section 16. Form 4 or Form 5
obligations may continue. See
Instruction 1(b).OMB Number:32350362Estimated
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What is form 5 - caredx?
Form 5 - caredx is a form used to report information about medical expenses incurred by a patient.
Who is required to file form 5 - caredx?
The patient or their legal guardian is required to file form 5 - caredx.
How to fill out form 5 - caredx?
Form 5 - caredx can be filled out online or by submitting a paper form with all relevant medical expense information.
What is the purpose of form 5 - caredx?
The purpose of form 5 - caredx is to provide documentation of medical expenses for reimbursement or tax purposes.
What information must be reported on form 5 - caredx?
Form 5 - caredx requires the patient's name, date of service, description of medical expenses, and total amount paid.
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