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By completing this form, you are giving permission to have a licensed sales agent contact you by telephone or cell phone to provide additional information about products and services. Your consent is voluntary and allows Agency/1800health to contact you via text messaging, artificial or prerecorded voice messages, or automatic dialling for marketing purposes. You may contact us to change your preferences at any time. Changing your preferences will not affect your eligibility for benefits and enrollment, payment for coverage of services, or ability to get treatment. Data use charges and rates from your cellular carrier may apply.

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