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NHS-SPIRE-Easy-Read-leaflet
NHS-SPIRE-Easy-Read-leaflet
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If you do not want your health information to be used<br />
by SPIRE fill in th<strong>is</strong> form.<br />
Write your answers on th<strong>is</strong><br />
side.<br />
Please put a cross in<br />
the box if you do not<br />
want your<br />
information to be<br />
used by SPIRE.<br />
Write your name<br />
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