All taxpayers may deduct only the amount of the total unreimbursed allowable medical care expenses for the year that exceeds 7.5% of their adjusted gross income. For example, if you earn $50,000 as adjusted gross income, then only the medical expenses that exceed $3,750 are deductible. Please summarize your medical expenses and describe them below.
Here is the IRS list of Qualified Medical Expenses.
We do not need your receipts. If you have another log such as a spreadsheet or a summary, you can send that to us in lieu of completing this form.