PDF-AppendixBtoPart825CertificationofHealthCareProviderOptionalFormWH380

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cIfaregimenofcontinuingtreatmentbythepatientisrequiredunderyoursupervisionprovideageneraldescriptionofsuchregimenegprescriptiondrugsphysicaltherapyrequiringspecialequipment7aIfmedicalleaveisrequiredfo

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