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Abbvie Patient Assistance

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APPLICATION FOR MYABBVIE ASSIST

www.abbvie.com

payment information in relation to my use of AbbVie products, to the AbbVie Patient Assistance Foundation and AbbVie, to enroll me in and provide me with assistance and support for AbbVie products. I understand that information released under this Authorization will no longer be protected by HIPAA. I also understand

  Patients, Assistance, Abbvie, Abbvie patient assistance

Humira Patient Assistance Application - AbbVie

www.abbvie.com

patient assistance and support for AbbVie products. I understand that information released under this Authorization will no longer be protected by HIPAA. I also understand that if my Healthcare Companies use or disclose my Personal Information for marketing purposes, they may receive financial remuneration. ...

  Patients, Assistance, Patient assistance, Abbvie

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