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Today's Date: / / Name: DOB: / / May we use your email to contact you? Yes No Email Address? In order to assist in giving optimal care, please fill out the following. Thank you, in advance. How are
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May we use your is a form used to ask for permission to utilize someone's personal information or resources.
Any individual or entity seeking to access or use someone else's information or resources must file a may we use your form.
To fill out a may we use your form, you need to provide detailed information about the purpose for which you are seeking permission and the specific information or resources you wish to use.
The purpose of may we use your is to ensure that individuals have control over who can access or use their personal information or resources.
The information that must be reported on may we use your includes the requester's identity, the specific information or resources being requested, and the purpose for which they will be used.
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