Initialize Form Fields
CMSFormData cmsData = new CMSFormData();
cmsData.BoxHeader = “All Practice” + Environment.NewLine + “New York”;
cmsData.Box1A = true;
cmsData.Box1Aa = “Insured ID Number”;
cmsData.Box2 = “Jane Doe”;
cmsData.Box3A = DateTime.Today;
cmsData.Box3C = true;
cmsData.Box4 = “Same As Patient”;
cmsData.Box5A = “123 Washington Avenue”;
cmsData.Box5B = “SpringField”;
cmsData.Box5C = “IL”;
cmsData.Box5D = “12345”;
cmsData.Box5E = “2122323321”;
cmsData.Box6A = true;
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