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When I scan a paper document into a PDF and subsequently make this PDF searchable, I have produced an image only PDF with a hidden text layer. Can QuickPDFGetPageText() access this hidden text layer and extract the text from it (or part of the text with coordinates)?

Yes, it should be possible to extract text from OCR'd PDFs, using function such as GetPageText, if the text has been added to the PDF as regular text objects.