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HOME HEALTHCARE PROGRAM CONVERSION AND OWN USE CERTIFICATION The undersigned hereby acknowledges and agrees that the discounted price for made available to the undersigned pursuant to that certain
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Form undersigned hereby acknowledges is a legal document that acknowledges receipt or understanding of certain information or agreement.
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Form undersigned hereby acknowledges is typically required to be filed by the individual or entity who is receiving or acknowledging the information or agreement mentioned in the form.
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The purpose of form undersigned hereby acknowledges is to ensure that individuals or entities are aware of certain information or agreements and acknowledge them in writing.
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