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Refit Center Application Form Date PLEASE PRINT Mr. / Mrs. / Ms. / Dr. Manitoba Health No. (6 digits) (Please Circle) Legal Last Name PAIN No. (9 digits) Legal First Name Family Physician Birth Date
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Reh-fit application - December is an application for individuals who wish to apply for the Reh-Fit program in December.
Individuals who are interested in participating in the Reh-Fit program in December are required to file the application.
The Reh-Fit application for December can be filled out online on the official website of the program.
The purpose of the Reh-Fit application for December is to assess the eligibility of individuals to participate in the program.
The Reh-Fit application for December requires individuals to provide personal information, medical history, and fitness goals.
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2011 reh GST stratification M-D-Y PHIN HydroMassage Manitoba hereinafter Expiry generality transferable foregoing enrolment refundable Debit Todays Winnipeg arising utilizing ACKNOWLEDGEMENT wellness Centres Enrollment indirectly usage forego Participant

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