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SOMATIC THERAPY CORPORATION Filed by BRISTOL MYERS SQUIBB CO FORM SC 13D (Statement of Beneficial Ownership) Filed 05/23/96 Address Telephone CIK SIC Code Industry Sector Fiscal Year 850 MARINA VILLAGE

How to fill out somatix therapy corporation form

How to fill out Somatix Therapy Corporation form:

1. Start by carefully reading the instructions provided at the beginning of the form. Take note of any specific requirements or guidelines mentioned.
2. Provide your personal information accurately in the designated fields. This may include your full name, address, contact details, and date of birth. Double-check for any errors or typos before proceeding.
3. If applicable, indicate your health insurance information. This may involve providing the name of your insurance provider, policy number, and any other relevant details.
4. Fill out the medical history section thoroughly. Provide details about any current or past medical conditions, surgeries, medications, or allergies. Be as specific as possible to ensure accurate treatment and care.
5. If required, include information about any ongoing therapies or treatments you are currently undergoing. This will help the healthcare professionals tailor their services accordingly.
6. Sign and date the form in the designated space to validate the information provided. Make sure to read the declaration before signing, as it may involve consent to receive therapy services or sharing of medical information.
7. Review the completed form one last time to ensure all required fields are filled out correctly. Make any necessary corrections or additions.
8. Once you are satisfied with the information provided, submit the filled-out form as per the instructions mentioned. This may involve mailing it, submitting it in person, or using an online submission platform.

Who needs Somatix Therapy Corporation form?

1. Individuals seeking therapy services from Somatix Therapy Corporation need to fill out this form. It is an essential requirement for initiating therapeutic treatments.
2. Patients who wish to avail the services provided by Somatix Therapy Corporation, such as physical therapy, occupational therapy, speech therapy, or counseling, are required to complete this form.
3. The form is necessary for both new patients seeking treatment for the first time and existing patients who want to receive additional or ongoing therapy services from Somatix Therapy Corporation.

For pdfFiller’s FAQs

What is somatix therapy corporation form?

Somatix therapy corporation form is a form used for reporting information related to therapy services provided by the corporation.

Who is required to file somatix therapy corporation form?

All corporations that provide therapy services are required to file the somatix therapy corporation form.

How to fill out somatix therapy corporation form?

To fill out the somatix therapy corporation form, you need to provide information about the therapy services provided, revenue generated, and any other relevant details.

What is the purpose of somatix therapy corporation form?

The purpose of the somatix therapy corporation form is to ensure that corporations providing therapy services are complying with regulations and reporting accurate information.

What information must be reported on somatix therapy corporation form?

Information such as therapy services provided, revenue generated from these services, expenses incurred, and any other relevant financial details must be reported on the somatix therapy corporation form.

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