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INFORMATION PROVINCIAL HEALTH CARD: NUMBER PROVINCE Local medical services are covered by the provincial health plans and will require a valid health card. Please bring your health card with you to the event or provide us with the information on this form and we will make sure that the medical clinic has it. Please print clearly (if you have answered YES to any question, please state the diagnosis, treatment you have or are receiving and if you have been cleared to compete.) MEDICAL HISTORY...
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