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Beneficiary Full Name: Sponsors SSN: Date of Birth: Beneficiary State of Residence: Dear Provider, Please complete the letter of attestation below and return as indicated on the additional information
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hf1113x048 circumcision is a form used to report circumcision procedures.
Medical professionals and healthcare facilities are required to file hf1113x048 circumcision.
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Information such as patient details, date of procedure, type of circumcision performed, and any complications must be reported on hf1113x048 circumcision.
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