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CHC#Medical Order FormDOBAddressContact Number 18008100000
See Page 2 for Fax NumbersCityProvincePostal Telephone #Patient Information
HeightWeightDiagnosis of diabetes? Yes No Type:Known
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Hamilton Niagara Haldimand Brant is a region in southern Ontario, Canada that includes the cities of Hamilton, Niagara Falls, Haldimand County, and Brant County.
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The specific information that must be reported on Hamilton Niagara Haldimand Brant forms or filings will depend on the type of report or tax being submitted, but typically may include financial information, business details, and demographic data.
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