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The Health Savings Account (HSA) Distribution Form is designed to assist you in selecting an HSA distribution reason and method. Applicable law or policies of the HSA custodian/trustee may require additional documentation. A separate distributionform must be completed for each distributionreason. It is in your best interest to seek the
Publication 502, Medical and Dental Expenses. This publication explains the itemized deduction for medical and dental expenses that you claim on Schedule A (Form 1040). 1  It discusses what expenses, and whose expenses, you can and cannot include in figuring the deduction.