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Consent to Collect, Use and Disclose Personal Health Information Niagara Therapeutics Inc. I, or my substitute decision Print Name maker (if required) give consent for Print Name Niagara Therapeutics
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It is a form that allows individuals to give permission for their information to be used by Niagara Formrapeutics Inc.
Anyone who wants to authorize the use of their information by Niagara Formrapeutics Inc.
You can fill out the form online or in person by providing your personal information and signing the consent agreement.
The purpose is to ensure that individuals are aware of and agree to the use of their information by Niagara Formrapeutics Inc.
Personal details such as name, contact information, and any specific information being consented for use.
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