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Account Reinstate

I, , account owner of , hereby authorize HelloNote (E Medical Records Live Inc.) to reactivate the HelloNote account for

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Timestamp

Audit

January 28, 2022 12:50 pm EDT

Account Reinstate Uploaded by HelloNote EMR - hello@hellonote.com IP 54.227.17.134

March 10, 2022 5:57 pm EDT

Donna Dadivas - Donna@hellonote.com added by HelloNote EMR - hello@hellonote.com as a CC'd Recipient Ip: 108.6.11.147