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Get the free FORM IHS-912-2. Request for Revocation of Restriction(s)

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DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVED: OMB NO. 09170030 Expiration Date: 02292020 See OMB Statement below. Indian Health ServiceREQUEST FOR REVOCATION OF RESTRICTION(S) I hereby revoke
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Form ihs-912-2 is used to request information related to Indian Health Service (IHS) programs or services.
Any individual, organization, or entity seeking information from IHS programs or services may be required to file form ihs-912-2.
Form ihs-912-2 should be filled out with accurate and specific details regarding the information being requested from IHS programs or services.
The purpose of form ihs-912-2 is to facilitate the request and retrieval of information from IHS programs and services.
Form ihs-912-2 typically requires detailed information about the specific information being requested, the requester's contact information, and the purpose of the request.
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