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MEDICAL HISTORY QUESTIONNAIRE & CONSENT FORM Patient no.: PLEASE FILL IN USING BLOCK CAPITALS Personal data Last name:First name:Street address:Postal code / city:If you do not wish to receive an

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What is if you do not?

If you do not file your taxes, you may face penalties and interest.

Who is required to file if you do not?

Any individual or entity that meets the filing requirements set by the tax authorities.

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