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Get Va Form 10 2478

Disclosure is voluntary. However if information is not furnished the processing of of your prescription may be delayed. Failure to furnish this information will have no adverse effect on any other benefit to which you may be entitled. VA FORM JUL 2006 R 10-2478 EXISTING STOCK OF VA FORM 10-2478 MAY 1991 WILL BE USED.

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