AISH Application - Part B Medical Report

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Title: AISH Application - Part B Medical Report Author: Assured Income for the Severely Handicapped \(AISH\) Subject: This document must be completed by the applicant's physician and is used to apply for benefits under the Assured Income for the Severely Handicapped \(AISH\) program.

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  Report, Medical, Part, Part b medical report

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1. Complete Part A Applicant Information, and use the Application Checklist on the next page to gather copies of the documents you must provide. 2. Take Part B Medical Report to your doctor to complete. You will have to pay a fee to the doctor to complete the report.

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Title: AISH Application - Part A Applicant Information Author: Assured Income for the Severely Handicapped \(AISH\) Subject: This document must be completed by the applicant in order to apply for benefits under the Assured Income for the Severely Handicapped \(AISH\) program.

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