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All information will be kept strictly confidential and
used only for the purposes of collecting stories for the campaign.
Providers: If you are a health care provider, please
download and complete the Provider
story form (right-click on the link to download form).
Individuals: If you are an individual negatively affected
by these cuts, please download and complete the Individuals
story form (right-click on the link to download form).
Please submit the form with the story via fax at (617)-350-5499
or e-mail miracle@realclout.org.
If you have any questions please call Carly Burton at 617-350-5480
x208.
Stories will be reviewed and posted on a regular basis. Read
some stories now.
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