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**WE NO LONGER ACCEPT APPLICATIONS OR CHANGE FORMS IN PERSON YOU MUST MAIL IN ALL FORMS** INSTRUCTIONS FOR CHANGE OF INFORMATION FORM This form is to be used by PATIENTS ONLY who are already enrolled
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What is we no longer accept?
We no longer accept cash payments.
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Anyone who wants to make a purchase must file we no longer accept.
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We require the amount paid, the date of payment, and the payment method to be reported on we no longer accept.
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