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MEDICAL HISTORY ALAN H. BROMINE, D.M.D. PATIENTS NAME (PRINT)___DATE OF BIRTH___ PHYSICIAN (MEDICAL DOCTOR) NAME: ___Physicians Phone: ()___ Physicians office address: ___ Date last seen by physician:
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Brodine D is a form used for reporting certain financial information to the relevant authorities.
Anyone who meets the specific criteria outlined by the authorities must file Brodine D.
Brodine D can typically be filled out online or by submitting a physical form with the required information.
The purpose of Brodine D is to ensure transparency and compliance with financial reporting regulations.
Brodine D typically requires information such as income, expenses, investments, and other financial details.
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