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PAT I E N T R E F E R R A L F ORM Duke Transplant Services Lung and Heart/Lung Transplant Program Toll-free: 8002495864, option Local: 9196137777, option 1 Fax: 9196815770USPS: Box 102347, Durham,
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First, download the Duke MCOC 9426 form from the official website or get a copy from a Duke Medical Center.
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Fill in your personal information such as name, address, contact details, and insurance information.
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Provide details about your medical condition or the reason for filling out the form.
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Make sure to include all relevant medical records or supporting documents as requested.
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Patients who are seeking medical treatment at Duke Medical Center and are required to provide detailed information about their medical condition.
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The Duke MCOC 9426 form is a tax form used for reporting miscellaneous income.
Individuals or businesses who have received miscellaneous income totaling $600 or more during the tax year are required to file the Duke MCOC 9426 form.
To fill out the Duke MCOC 9426 form, you must provide your personal information, the payer's information, and details about the miscellaneous income received.
The purpose of the Duke MCOC 9426 form is to report miscellaneous income to the IRS and ensure proper tax compliance.
The Duke MCOC 9426 form requires reporting of the payer's information, recipient's information, and details of the miscellaneous income received.
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