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201, 501 Ethel Drive Sherwood Park, AB T8H 0N2 Phone 780.800.6906 www.synergyrespiratory.comRespiratory Requisition Fax 780.800.6907 Patient Information (please Print or Affix Patient Label) Name___Address___City/Town___Date
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Contact - Synergy MD is a healthcare management tool designed to streamline communication between healthcare providers and patients, facilitating better coordination of care.
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