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MASS84 Proxy Access to Centrelink Information

MASS84 Proxy Access to Centrelink Information

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Please attach copy evidence to confirm authority e.g. copy of Enduring Power of Attorney to this form. Email OR Post completed form to a MASS Service Centre Email: MASS184@health.qld.gov.au Website: health.qld.gov.au/mass Brisbane: PO Box 281, Cannon Hill Q ld 4170 Telephone: 07 3136 3636 Townsville: PO Box 980, Hyde Park Q ld 4812

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