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If you are an organizational or group provider (multiple practitioners working under your Tax ID) and would like to be considered for a contract with OSU Health Services, please complete and submit
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Incomplete or illegible forms are forms that are missing required information or are difficult to read due to poor handwriting or other issues.
Any individual or organization that is required to submit the forms as per the specific guidelines.
Incomplete forms should be filled out with the missing information and illegible forms should be rewritten clearly.
The purpose of incomplete or illegible forms is to ensure that all necessary information is accurately reported.
All required information as outlined in the form instructions must be reported on incomplete or illegible forms.
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