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Casa De Asigurari De Sanatate Prahova Form
Raspundere prin care certific faptul ca nu intentionez sa utilizez cardul european de asigurari sociale de sanatate pentru deplasari care au ca scop beneficierea de tratament medical* De asemenea in situatia in care beneficiez de servicii medicale in baza cardului european de asigurari sociale de sanatate in perioada in care nu mai indeplinesc toate conditiile in baza carora s-a eliberat cardul inclusiv plata contributiei de asigurari serviciilor medicale decontate din bugetul Fondului national...
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