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ADDITIONAL VISIT (AV) FORM HIGH RISK INFANT FOLLOWUP QUALITY OF CARE INITIATIVE NAME: (Last, First)HRI I.D.# *Required Field×DATE OF ADDITIONAL VISIT:(MMDDYYYY)*REASON FOR ADDITIONAL VISIT (Required
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Form 3 - additional is a supplementary form used for reporting additional information that is not included in the primary Form 3, often related to financial disclosures.
Individuals or entities that have previously filed Form 3 and need to report extra details or changes are required to file Form 3 - additional.
To fill out Form 3 - additional, gather necessary financial information, follow the provided instructions, and accurately input the required details into the designated fields, ensuring all supplemental information is clearly stated.
The purpose of Form 3 - additional is to provide regulators with comprehensive information about specific financial activities or changes that necessitate further disclosure beyond the primary filing.
Information that must be reported includes additional financial transactions, updates to previously reported data, any new affiliations, or significant changes that affect the original filing.
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