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Request to Restrict the Use of Confidential Information Template
Share this request to restrict the use of confidential information with your patients to improve your medical services, optimize your internal processes and digitize your business.
AVAILABLE ON GOLD PLAN
This template is available in the GOLD plan, with many perks:
- Unlimited question fields
- 5.000 submissions per month
- Collect files
- Email & SMS notifications
- Third-party integrations
- Visual reports
Join 1.5 million happy customers that build forms & surveys with 123FormBuilder
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