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Thank you for your inquiry. The Yes We Care 4 U™ will be glad to assist you and also connect you with our members. In order to proceed, we will need your consent to release your information to our members on our exclusive “Member’s Only” website. Patient information is strictly confidential and will only be released to our Yes We Care 4 U™ Members. Your privacy is very important to us, so we will only release your first name. Please complete the information below and confirm that we may release the following :

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