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Annex AOverTheCounter SelfCare Form BDAACH Pharmacy ServiceNOTE: 1. Children 2 years old are not eligible for the OTC medication program. 2. Patients on flight status will not use this form. See Flight
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The self care form is a document used to report personal health maintenance activities and expenses for tax or insurance purposes.
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Individuals who wish to claim deductions for certain health-related expenses or activities on their taxes are typically required to file a self care form.
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To fill out the self care form, gather all necessary documentation regarding health expenses, complete the sections accurately with your personal information, and ensure all expenses are itemized as required.
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The purpose of the self care form is to document and report health-related expenses to possibly receive tax benefits or insurance reimbursements.
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Information that must be reported includes personal identification details, itemized health care expenses, dates of service, and provider information.
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