Attachment 4 -- HC Appointment Reminder Postcard

Attachment 4 -- HC Appointment Reminder Postcard.pdf

Medical Expenditure Panel Survey Household Component and Medical Provider Component (MEPS-HC and MEPS-MPC through 2009)

Attachment 4 -- HC Appointment Reminder Postcard

OMB: 0935-0118

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A Reminder from
Your Friends at MEPS

Dear
This card is to confirm our appointment for
the Medical Expenditure Panel Survey on

Place
Stamp
Here

Date: _______________________________________
Time:_ _________________________ (a.m./p.m.)
I’m looking forward to seeing you!
If you need to reschedule your
appointment, please call.

_____________________________________________
  Name

__________________________________________________
ID:

__________________________________________________
Street Address

__________________________________________________

__________________________________________________
City	
State	
ZIP

OMB #0935-0118 	

PUBLICATION 09-406


File Typeapplication/pdf
File Modified2009-07-16
File Created2008-10-08

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