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Right to Revoke You have the right to revoke this Consent at any time by giving us written notice of your revocation submitted to the Privacy Officer listed above. Please understand that revocation of this Consent will not affect any action we took in reliance on this Consent before we received your revocation and that we may decline to treat you or continue treating you if you revoke this Consent. Suite 209 Forest Lake Minnesota 55025 Consent Does Not Expire after One Year. By signing this...
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How to fill out g2 dental
01
Get the G2 dental form from the dentist's office.
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