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I understand that, if I wish to withdraw this consent, I may do so at any time by writing to Health Insurance BC, Attn: PharmaCare Services, at PO Box 9655 Stn Prov Govt Registration Form Victoria, BC V8W 9P2. HltH 5349 PAGe 2 OF 2 mail your completed form to: PO Box 9655 Stn Prov Govt ... Document Viewer

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