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Mark R. Stein, M.D. Alan Opera, M.D., Ph.D. Elena E. Perez, M.D., Ph.D. Cathy Hollow ell, ARP Adult/Pediatric Allergy & ImmunologyRequest for Release of Healthcare Information Date: Patient Name Date
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Perez M is a form used to report certain financial information to the government.
Individuals or entities who meet the reporting requirements outlined by the government.
Perez M can be filled out online or submitted through mail by providing the requested financial information.
The purpose of filing Perez M is to provide the government with important financial information for regulatory purposes.
Information such as income, expenses, assets, and liabilities may need to be reported on Perez M.
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