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Patient InformationName (Please print full name):___ Date of Birth: ___ Address: ___ Phone #:___ MRN: ___ Email: ___Release format:q Paper Copyq Electronic Delivery q Electronic Hard Copy (CDROM)
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Hocch h s y stands for Health Savings Account.
Individuals who have a Health Savings Account are required to file hocch h s y.
To fill out hocch h s y, you need to report your contributions, distributions, and other relevant information related to your Health Savings Account.
The purpose of hocch h s y is to report and track the contributions and distributions from your Health Savings Account.
You must report your contributions, distributions, and any other relevant information about your Health Savings Account.
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