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Confidence Order Form CG1Phone: (312) 2332207 Fax: (866) 8609358 www.absolutemedical.comPatient Name / ID Code or File # DOB Date Address Gender City/State/Zip PO# Diagnosis Original Order Reorder
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Confidence Order Form CG1 is a form used to request or grant confidentiality protection for specific information.
Parties involved in a case where confidentiality protection is being requested or granted are required to file Confidence Order Form CG1.
Confidence Order Form CG1 should be filled out by providing the necessary information about the specific information being requested or granted confidential status.
The purpose of Confidence Order Form CG1 is to establish and maintain confidentiality protection for sensitive information in a legal case.
Confidence Order Form CG1 requires details about the specific information to be protected and the reasons for requesting or granting confidentiality status.
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