Sfmc hospital 2025

1. Click ‘Get Form’ to open the sfmc hospital application in the editor.
2. Begin with SECTION A by entering your full name, current address, city, state, ZIP code, primary phone number, social security number, and date of birth. Ensure all information is accurate for processing.
3. Proceed to SECTION B for information regarding your spouse or joint applicant. Fill in their full name, primary phone number, social security number, and date of birth.
4. In SECTION C, list each dependent's name along with their date of birth and relationship to you. Use the provided spaces for multiple dependents.
5. SECTION D requires financial information. Indicate whether you have checking and savings accounts. List your monthly expenses clearly under the specified categories.
6. Finally, review SECTION E where you will sign and date the application confirming that all information is correct. Make sure both applicants sign if applicable.

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