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P.O. Box 722767 Norman, OK 73070 (405) 793ALLY (2559) or 8777302559Application for Financial Assistance Section 1 Patient Information Name (First, Middle, Last)DiagnosisSocial Security Number Address
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Module 1 - department refers to a specific reporting section that organizations must complete to detail departmental activities and finances.
All organizations with departments that engage in specified activities and financial transactions are required to file module 1 - department.
To fill out module 1 - department, gather necessary departmental data, follow the provided instructions, and ensure all required information is accurately reported.
The purpose of module 1 - department is to ensure transparency and accountability in departmental operations and financial reporting.
Information that must be reported includes departmental income, expenditure, activities undertaken, and compliance with regulations.
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