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Dear May Kristy, please complete this one-time Patient Consent to Treatment form for instED visits, by clicking the link below. Do not forget to click SUBMIT when you are done. Click here to complete the form: https://insted-patient-qa.vicenna.com/patient-consent/consent-detail-form?token=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJjbGllbnRVc2VyIjoiVHJ1ZSIsIlBlcm1pc3Npb24iOiJJbnMuRGVmYXVsdC5BbGxVc2VycyIsImNvbnNlbnRJZCI6IjY5ZjljMmI1ZjU2Y2MwMjQ2YjJkMDUyNCIsInBhdGllbnRMYXN0TmFtZSI6Ik1heSIsInBhdGllbnRGaXJzdE5hbWUiOiJLcmlzdHkiLCJwcmVmZXJyZWRMYW5ndWFnZSI6ImVuIiwiZXhwIjoxODA5NTEyMzU2fQ.rOlJqFq85IoALCWDY5QVw5kQjDZ_HV9iefbOEKbUMuk For any questions or comments please call instED at 833-946- 7833 , from 8:00 AM to 10:00 PM (ET).

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Dear May Kristy, please complete this one-time Patient Consent to Treatment form for instED visits, by clicking the link below. Do not forget to click SUBMIT when you are done. Click here to complete the form: https://insted-patient-qa.vicenna.com/patient-consent/consent-detail-form?token=eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJjbGllbnRVc2VyIjoiVHJ1ZSIsIlBlcm1pc3Npb24iOiJJbnMuRGVmYXVsdC5BbGxVc2VycyIsImNvbnNlbnRJZCI6IjY5ZjljMmI1ZjU2Y2MwMjQ2YjJkMDUyNCIsInBhdGllbnRMYXN0TmFtZSI6Ik1heSIsInBhdGllbnRGaXJzdE5hbWUiOiJLcmlzdHkiLCJwcmVmZXJyZWRMYW5ndWFnZSI6ImVuIiwiZXhwIjoxODA5NTExOTg5fQ.zocsdli0ojzVsyVlihuwOFENS4eLKg7fqep1J8WJoAg For any questions or comments please call instED at 833-946- 7833 , from 8:00 AM to 10:00 PM (ET).

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