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Shelby County Community Corrections Providing Alternatives and Opportunity for Shelby County P. O. Box 70 Columbiana AL 35051 Medical Form Name of Participant Date To Any Physician Hospital or other Medical or Health Care Provider I am currently a participant in the Shelby County Drug Court Program in which I am receiving treatment for substance abuse. I am required to inform all medical care providers of my participation in the Program and request that to the extent possible I may not be...
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Medical form - shleby is a document used to collect and report medical information related to an individual.
Individuals who are seeking medical treatment or services are required to file medical form - shelby.
Medical form - shelby can be filled out by providing accurate and detailed information about one's medical history, current health condition, and any treatments or medications being taken.
The purpose of medical form - shelby is to ensure that healthcare providers have access to necessary medical information in order to provide appropriate treatment and care to the individual.
Medical form - shelby must include information such as medical history, current health conditions, medications being taken, allergies, and contact information for healthcare providers.
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