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Instruction Sheet for Appeals Template The attached appeals' template was developed to help patients request an appeal of a denied insurance claim for AMISTAD (Laurel). 2017 Medication & Pharmacy User Guide Alameda County Behavioral Health Care Services Office of the Medical Director

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1a. Tap the syringe at least 10 times to dislodge any material that may have settled. 1b. Then after tapping, shake the syringe vigorously for a minimum of 30 seconds to ensure a uniform suspension. It’s very important to do both steps. If the syringe is not used within 15 minutes, shake again for 30 seconds.

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