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Were in this together Authorization TO DISCUSS HEALTH INFORMATION Patient Name: Date of Birth: Account Number: Physician: By signing below, I authorize Hematology Oncology Associates to discuss my

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What is were in this togeformr?

WERE stands for Withholding Exemptions and Residency Certificate.

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Individuals and entities making payments subject to withholding tax are required to file WERE in this togeformr.

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You need to provide information about the payee's exemptions, residency status, and tax treaty eligibility.

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