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KENNETH J. VANESSA, M.D.SCOTT J. START, M.D.OKSANA ZHIVOTENKO, D.O.MICHAEL J. HAMPERING, M.D.STEVEN Y. WEI, M.D.ADAM W. GREEN, M.D.GABRIEL BELLA, M.D.R. JUSTIN THOMAS, M.D.DANIEL C. GEORGE, M.D.MOHAMMAD
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Begin by gathering all the necessary information about the relative you are filling the form for.
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The form is used to report information about a relative.
Individuals who have relatives that meet certain criteria are required to file this form.
The form can be filled out online or by mail, providing all required information about the relative.
The purpose of this form is to collect data on relatives for various purposes such as genealogy research or legal documentation.
Information such as the relative's name, date of birth, relationship to the filer, and any other relevant details.
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