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Exceptions application form for multiple sclerosis treatments ONLY grand parented patients on beta interferon or Latimer acetateReturn completed form to:Exceptional Circumstances PHARMA CPO Box 10254 WELLINGTON Phone:

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Oformr exceptional circumstances forms are forms used to report any unforeseen or unavoidable situations that may affect the filing of a certain form or report.

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The individual or entity must provide a detailed explanation of the exceptional circumstances that prevented them from filing on time, as well as any supporting documentation.

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