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Directory Results for Indian Health Service Reimbursement Rates for 2017 1 to Indian Health Service REQUEST FOR REVOCATION OF RESTRICTION(S) I hereby revoke the following restriction(s) except to the extent that IHS has already taken action in reliance thereon: SIGNATURE OF PATIENT OR PERSONAL REPRESENTATIVE (If

Indian Health Service Reimbursement Rates for 2017 1
Indian Health Service REQUEST FOR REVOCATION OF RESTRICTION(S) I hereby revoke the following restriction(s) except to the extent that IHS has already taken action in reliance thereon: SIGNATURE OF PATIENT OR PERSONAL REPRESENTATIVE (If