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Ita Health & Wellbeing to contact your doctor or specialist you must complete a separate Medical Information Consent Form for each medical practitioner you would be prepared for Capita Health & Wellbeing to contact. The Medical Information Consent Forms (lettered a , b and c ), can be found at the end of this CSIBS1 P1 form. 2 Issued March 2014 CSIBS1 P1 PROTECT STAFF Medical Consent Form 2 Release of the Scheme Medical Adviser s medical assessment report Once.

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