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I swear, affirm, certify, and warrant that I have carefully and thoroughly read all of the statements and truthfully answered, in all respects, all of the questions contained in this document. Furthermore, I understand, accept and agree to each of the following statements:

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b. I understand that the  physician reviewing my Medical History Questionnaire will confer with my primary care physician if deemed necessary, and I attest that I have undergone a comprehensive, in-person physician examination by my primary care provider.

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