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THE WOODHULL SCHOOLHEALTHACADEMIC YEAR 2018 2019STUDENT/ FAMILY HEALTH & MEDICAL HISTORYSTUDENT NAME BIRTHDATE / / BIRTH CITY Anemia/ blood disorder Asthma/ wheezing Back problems Cancer/ tumorPERSONAL
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Specify your current health condition and any medical issues you are experiencing.
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Answer the questions regarding your medical history, including any past surgeries, medications, or treatments you have received.
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2 - health and is a form used to report health coverage information to the IRS.
Insurance companies, self-insured employers, government agencies, and other providers of health coverage are required to file Form 2 - health and.
Form 2 - health and can be filled out electronically or by mail. It requires information about the individuals covered, the coverage provided, and the provider of the coverage.
The purpose of Form 2 - health and is to provide the IRS with information about individuals who have health coverage to help enforce the individual mandate and administer premium tax credits.
Information such as the name, address, and taxpayer identification number of the provider of health coverage, as well as the names and taxpayer identification numbers of individuals covered by the plan, must be reported on Form 2 - health and.
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