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Form 8288 for Tampa Florida: What You Should Know

Aspires Lutheran Hospital(715) 656‑3106ContactAspirus Mount Pleasant Hospital(715) 584‑3663․ Include as many fields as possible for your testing site. The field with a † sign indicates information is available only during this visit. Field 1 — Date of Visit Field 2 — Name, address, and telephone number Field 3 — Description of testing Field 4 — Telephone number — (if known) Field 5 — Contact address Field 6 — Address and date Field 7 — Contact details Field 8 — Location and date. Field 9 — Address Field 10 — Address and telephone number Field 11 — Business name and address Field 12 — Business address ‡ If the information is not available because it is not readily available. If the testing is at your testing site, or if we are making a reference to the address in question, then insert the address into ‣ ․. ․ Field 13 — Date of Testing (Year and day) Field 14 — Test Name, Address, and Telephone# Fields 15-18 — Date of testing (year and day) Fields 19-22 — Date of testing (year, morning) Field 20 — Address and telephone number Field 21 — Telephone# Field 22 — Contact Address Field 23 — Contact address Field 24 — Test Field 25 — Address and telephone number Field 26 — City, State and Zip code Field 27 — Date of testing Field 28 — Test (Year and night) and location Field 29 — Address Field 30 — Telephone number Field 1 — Name, address, and telephone number Field 2 — Description of testing (in this case a blood test) Field 3 — Telephone# Field 30 — Telephone number Field 31 — Contact address (if known) Field 32 — Contact details Field 33 — Contact address Field 34 — Contact details Field 35 — Contact details Field 36 — Contact details Field 37 — Contact details Field 38 — Contact details Field 39 — Contact details Field 40 — Mailing Address Field 41 — Mailing Address Field 42 — Mailing address Field 43 — Mailing Address Field 44 — Mailing address ‡ This information is available for a test held on the day of the month, week or year that the test date is. Form 433-B (Rev.

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