Yes, I am a health care provider
Note: Pursuant to and for the purposes of Art. 76 D.P.R. 445/2000 aware of the responsibility and the civil and criminal consequences provided for in case of false statements and / or formation or use of false documents, as well as in case of exhibition of documents containing data no longer corresponding to the truth and also aware that if it emerges that the contents of this document are not true, the benefits for which it is issued will be forfeited I confirm that I am a HEALTH CARE OPERATOR.
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