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The information on this form will be used by the ºÚÁÏÉç of Physicians and Surgeons of British Columbia to process your request. If you have any questions about the collection and use of this information, please contact the ºÚÁÏÉç at 300-669 Howe Street, Vancouver, BC V6C 0B4, or call 604-733-7758 or 1-800-461-3008 (toll free in BC).