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Legal Guardian must sign if patient is under 18 years of age.
Pursuant to 45 C.F.R.164.504 (d), Twenty Second Company Inc., hereby designates itself and its subsidiaries; ABC Medical Holdings, Inc., ABC Home Medical Supply, Inc., Southeast Medical, Inc., Mi-Med Supply Co., Inc., Freestate Medical Supply, Inc., MLK Associates, Inc., and P and H Ostomy and Health Services, Inc. d/b/a Arkansas Medical Supply to be known as "the affiliates" and from time to time, as a single covered entity, solely for the purposes of the above referenced. regulations. © 2024 Twenty Second Company, Inc. All rights reserved.