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ATENCI N Si habla espa ol tiene a su disposici n servicios gratuitos de asistencia ling stica. Llame al 888-311-9127 TTY 711. However I also understand that federal or state law may restrict re-disclosure of HIV/AIDS mental health information genetic testing information and drug/alcohol diagnosis treatment or referral information. I may revoke this authorization in writing at any time. To revoke this authorization send a written statement that you are revoking this authorization along with a...
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i understand form following is a document that confirms the individual's understanding of a particular situation or agreement.
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