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Get Canada SC INS5242A E 2017-2024

Tioner to release medical information. The patient or their legally authorized representative must complete and sign this form and show it to the medical doctor or nurse practitioner who will complete and sign the Medical Certificate for Employment Insurance (EI) Family Caregiver benefits. This form and the Medical Certificate for Employment Insurance Family Caregiver Benefits must be submitted together to claim Family Caregiver benefits. If possible, the patient should sign this form. If the pa.

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