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Restricted (Staff) FORM B Application for Reimbursement / Direct Payment of Medical Expenses (except drugs provided by the Hospital Authority) in accordance with CSS Circular No. 2/2013 (Applicants
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Form B application is for requesting benefits or services.
Any individual or entity seeking benefits or services.
You can fill out Form B application online or by mail.
The purpose of Form B application is to request specific benefits or services.
Form B application requires personal information, details of benefits or services requested, and any supporting documents.
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