Date Printed: April 17, 2021
Membership Number: {%CLIENT: Membership ID%}


Practice Hours Report

This report shows the Practice Hours 
SACLXT has approved for the previous 5 years.

 

{%CLIENT: First Name%} {%CLIENT: Last Name%}

{%CLIENT: Address: ADDRESS%}

Total Practice Hours Allowed Over 5 Years {%CLIENT: Practice_hours_totals_5Yrs%}

Practice Hours