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LISA International El Carried Clinic Referral Form Today's Date: / / From: (name and/or specialty) To: San Bias To: (name and specialty) El Puerto Other Patient Name: (Last Middle First) Age: Sex:
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Liga International is a non-profit organization dedicated to providing medical assistance to underserved communities.
Volunteers and donors who wish to participate in Liga International programs may be required to file certain paperwork.
To fill out Liga International forms, individuals must provide personal information, medical history, and any relevant skills or training.
The purpose of Liga International is to improve access to healthcare services in communities that lack resources.
Information such as contact details, emergency contacts, medical conditions, and insurance information may need to be reported.
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