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Inpatient care / Medical terms / Nursing / Patient


Customer Hospitalization Program Application ‰ I will be hospitalized for more than 3 days. I am requesting an extension on my utility bill. Please send me an application for the following programs
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Document Date: 2010-01-27 14:21:22


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File Size: 39,58 KB

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Company

Central Hudson Gas & Electric Corporation / /

Facility

Hospital Official’s Signature / /

Position

Life Support Protection Advisor / Hospital Official / /

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