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Get Manitoba Blue Cross Forms

OBA 1-800-USE-BLUE (1-800-873-2583) The Blue Cross symbol and name are registered trademarks of the Canadian Association of Blue Cross Plans, an association of independent Blue Cross plans, used under license by Manitoba Blue Cross. MBC 1001 JUNE 200 AUTHORIZATION AND CONSENT I understand that the personal information provided herein as well as any other personal information currently held or collected in the future by Manitoba Blue Cross and/or Blue Cross Life Insurance Company of Canada.

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