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IASIS SAFEGUARD PLUS
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| Family physician name, address, phone and fax | |
| A list of your current medications | |
| Your VISA, MASTERCARD credit card information | |
| Internet Explorer 4.0 or better required* |
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*In order for us to give you the most complete and easy to use forms. If you are using Netscape, you will need to open Internet Explorer. (On your desktop - usually one of the first icons.) If you need to download a newer copy of Internet Explorer - click on this icon and you can do a free download.
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