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Telephone consents / facsimile / e-mail transmission Where the person affirming/giving consent is not able to be present at the hospital to complete this form consent may be affirmed/obtained by telephone in the presence of at least two witnesses. 522 University Avenue Suite 900 Toronto ON M5G 1W7 Tel 416-363-4438 or toll free 1-877-363-8456 Fax 416-214-7797 or toll-free 1-866-557-6100 Website www. The implications of this transfer have been discussed with me. Not Applicable No Authorization...

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