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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), ABC Home Medical Supply, Inc., hereby designates itself and its subsidiaries; Southeast Medical, Inc., Mi-Med Supply Co., Inc., Freestate Medical Supply, Inc., and MLK Associates, Inc. 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. © 2026 ABC Home Medical Supply, Inc. All rights reserved.