Get 60th Medical Group

Filling out the 60th Medical Group form is a straightforward process that enables users to submit their information efficiently. This guide provides step-by-step instructions on each section of the form, ensuring users can complete it accurately and confidently.

Follow the steps to successfully complete the form

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. In the 'Sponsor First Name' field, enter the first name of the sponsor. This information is required for identification purposes.
3. In the 'Sponsor Last Name' field, input the last name of the sponsor. Ensure that the spelling is accurate.
4. In the 'Patient Name' field, enter the name of the patient associated with this form. This field is important for record-keeping.
5. Fill in the 'Mailing Address' section with the complete address where correspondence should be sent. This is a required field.
6. Input the 'City/FPO/APO' of your mailing address in the designated field.
7. Select 'United States' as the country from the available options.
8. In the 'State' field, choose the state that corresponds to your mailing address.
9. Enter the 'Zip Code' associated with the mailing address to ensure accurate delivery.
10. Provide a valid 'Phone Number' for communication purposes. This field is mandatory.
11. Fill in the 'IEN/Account Number(s)' field to identify your account with the medical group. This is a required entry.
12. In the 'Amount(s)' section, input any relevant amounts associated with this submission.
13. Complete the 'Total Payment' field with the total payment amount necessary for processing.
14. After reviewing all entries for accuracy, you can choose to save your changes, download the document, print it, or share it as needed.

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