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HERITGE HOUSE, DUNDRUM OFFICE PARK, DUBLIN 14. TELEPHONE: 298 9123 FAX: 298 9395 E MAIL: info@ihca.ieMembership Application/Renewal Surname___Date of Birth Preferred Mailing AddressForename(s)___Male
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Contact USIHCA refers to the United States International Health Care Agreement, which facilitates the sharing of health care information and ensures access to necessary services for individuals covered under this agreement.
Individuals and entities that are involved in cross-border health care services or have received benefits under the International Health Care Agreement are required to file contact USIHCA.
To fill out contact USIHCA, individuals must complete the designated forms accurately, providing all requested personal and health information, and submit them to the relevant health authority or organization.
The purpose of contact USIHCA is to ensure transparency and accountability in the provision of international health care services, while protecting patients' rights and facilitating access to necessary care.
The information that must be reported on contact USIHCA includes personal identification details, health care provider information, services received, and any payments or reimbursements related to international health care.
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