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Measure C Senior Scrip Program PROXY AUTHORIZATION FORM (Authorization to be processed and approved ONLY by the Fresno COG office.) I hereby authorize the following individual(s), listed on Part II
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Our testsquest diagnostics involve conducting various tests and diagnostic procedures to identify health issues or abnormalities.
Healthcare providers, medical facilities, and laboratories are required to file reports about our testsquest diagnostics.
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The purpose of our testsquest diagnostics is to gather important health information and data to assist in diagnosing and treating patients.
Information such as patient demographics, test results, date and time of tests, and the healthcare provider's information must be reported on our testsquest diagnostics.
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