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Prequalification step 2

Step 1 of 3 - Next

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    The information contained in this transmission may contain privileged and confidential information, including patient information protected by federal and state privacy laws. It is intended only for the use of the person(s) named below. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution, or duplication of this communication is strictly prohibited. If you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original message.
    We currently have doctors licensed in New York, California, Florida and Texas only. The ESA letters can only be used legally in the state where it is issued. You bear all legal risk if you use it in a different state. You can currently be from another state but intend to live or travel in NY CA, FL or TX.
  • Type N/A or "Not Applicable" if not applicable to your pet.