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Medical History G___P___ A___ (Office Use)Patient Name___ Date of Birth___ Date___Reason for today\'s visit: Annual Followup Problem___ Other___ Brief description of problem or other concern: ___
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This schedule applies to specific tax forms required by the IRS for reporting certain types of income, deductions, credits, or other tax-related information.
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Taxpayers who meet particular criteria outlined by the IRS, such as those with specific types of income or deductions, are required to file this schedule.
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