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APPENDIX B OF 27 and Post Doc WAIVER of RecruitmentDate Mary E. Footman, M.D. Dean, Duke University School of Medicine Vice Chancellor for Health Affairs R. J. Reynolds Professor DUMP 2927 RE: Waiver
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The form provides justification for medical expenses.
All patients who have incurred medical expenses.
The form must be filled out with details of the medical expenses incurred.
The purpose is to document and justify medical expenses for reimbursement or tax purposes.
Information such as date of service, description of service, and cost must be reported.
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