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SaskatoonHealthRegion TransfusionMedicineServicePhone:RUH(306)6552179SCH(306)6558204SPH(306)6555168 Phone:Humboldt(306)6828128PATIENTIDENTIFICATION FILENAME:___HOSTNAME:___ HAN:___ TMLTESTREQUESTFORMD.

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Anyone seeking medical treatment or coverage for healthcare services needs to fill out a health care form. This includes individuals applying for health insurance, visiting a new healthcare provider, or receiving medical treatment at a hospital or clinic.

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What is health care -- form?

The health care form is a document used to report health care coverage information to the IRS.

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Information such as names, social security numbers, and months of coverage must be reported on health care form.

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