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Get the free Note: Do not use this form for custom orders - KineMedic Concepts ...

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(909) 3373449(877) 8889868PREFABRICATED/ SEMICUSTOM ORTHOTICS AND THERAPY AIDS ORDER FORM Please mail, fax or email completed Payment Information, Release and Order Form to: P.O. Box 3220 Blue Jay,
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Note do not use is a written message indicating that certain information should not be used.
Any individual or organization who wants to prevent specific information from being used must file a note do not use.
Note do not use can be filled out by clearly stating the information that should not be used and providing explanations or justifications.
The purpose of note do not use is to restrict the use of sensitive or confidential information to protect individuals or organizations.
Note do not use must include details of the information that should not be used, reasons for the restriction, and any legal implications.
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