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5297 S. 31st, Ste 115 Temple, TX 76502 www.balanceivtemple.com 2542280588 (O) 2548318090 (F) admin@balanceivtemple.comBalance Integrative & Infusion, LLC: ProviderPatient AgreementIntroduction This Agreement is entered into by and between Balance Integrative & Infusion, LLC (Balance Integrative), a Texas Professional Association, and Kelli Dudley, APRN, FNPC (Kelli Dudley), and the undersigned patient (Member). Balance Integrative is a Direct Primary Care medical practice
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Form 5297-S is a specific tax form used for reporting certain income or transactions to the IRS.
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Individuals or entities that engage in specific transactions or receive certain types of income that meet the IRS criteria are required to file Form 5297-S.
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