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Get Wood County Hospital Financial

(If the applicant is not the patient, please answer the following questions as they apply to the patient.) Street Address: City: State: Zip: DATE OF HOSPITAL SERVICE: to 1. 2. 3. Yes No Yes No Yes No 4. Were you an Ohio resident at the time of your hospital service? Were you in Ohio solely.

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  2. Fill in the requested boxes which are marked in yellow.
  3. Click the green arrow with the inscription Next to move on from box to box.
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