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	DISCLAIMER The following form is provided by FindLaw, a business within The Thomson Corporation, for informational purposes only and is intended to be used as a guide prior to consultation with an attorney familiar with Add to Reading List Document Date: 2012-03-19 18:43:20 Open Document File Size: 35,00 KB Share Result on Facebook Company FindLaw / The Thomson Corporation / / IndustryTerm pharmaceutical / disability insurance policy / medical device manufacturer / disability insurance / health insurance / health insurance coverage / insurance / / MedicalCondition Illness / serious illness / disease / / Position attorney / Show Your Attorney / / SocialTag Legal terms Medicine Insurance Health insurance Medical prescription Medical record Health Attorney Power of attorney Law

DISCLAIMER The following form is provided by FindLaw, a business within The Thomson Corporation, for informational purposes only and is intended to be used as a guide prior to consultation with an attorney familiar with Add to Reading List