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ALC Health is a trading style of la carte healthcare ltd. Registered in England no 4163178. Registered office Chanctonfold Barn Chanctonfold Horsham Road Steyning West Sussex BN44 3AA. Online www. alchealth. com/claims. htm Email claims alchealth. com Fax 44 0 330 333 6687 Post ALC Health Claims Team Global Response Ltd PO Box 1114 Cardiff CF11 1UL United Kingdom Policyholder and patient s details Patient s details Title Mr Mrs Miss Patient s postal address Ms Other Patient s first name s...

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