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I will let Penquis know if my/our situation changes. We are now receiving Maine Care services. We will let Penquis know if our Maine Care is cancelled. suited to each persons need. This data is true and complete. Release of Information Region 3 Sign and return within 10 days of receiving this form to Penquis P O Box 1162 Bangor ME 04402-1162 Permission to get records I give permission for Penquis to speak with medical and or other providers to confirm Maine Care covered appointments. Page 1...
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