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Get Canada Pshcp Ehc-55555-e 2016-2024

T all claimants on this form continue to meet the plan eligibility requirements. I acknowledge and agree that the terms of my Positive Enrolment “Consent to release of personal information” apply to this claim. I hereby authorize Sun Life, its agents and service providers to collect, use and disclose information about me, my spouse and my dependants to other persons and organizations including health professionals who have, or require, relevant personal information about me, my spouse and my.

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