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HIM37FRM REV 1 09.05.18CONWAY MEDICAL CENTER 300 SINGLETON RIDGE ROAD CONWAY, SC 29526AUTHORIZATION FOR RELEASE OF PROTECTED HEALTH INFORMATION (PHI) Section A: This section must be completed for
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him-37-frm is a financial reporting form for individuals.
Individuals who meet certain financial criteria are required to file him-37-frm.
him-37-frm can be filled out manually or electronically, following the instructions provided by the tax authority.
The purpose of him-37-frm is to report financial information to the tax authority.
him-37-frm requires reporting of income, expenses, and other financial details.
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