{"text":"NHS Confidenilal: Peraonal data about a patiant \nA . . o ity & 0 \n\u2014Condition-Management - - [[VITIY_: \nJohcentreplus Programme Referral Form \nPart of the Department RECEWED 1 \u00a7 2EC 2008 \nfor Work and ?en.sians K \\\u2018J\u2018\"\\ \nTo: Provider \u2018 From: . Jobcentre Plus Office - \nettt ettt c\u2014 \nB DT T e N e Y A S e R AT R \nC R s e s \nTitle: MrD MrsClMiss DMS D Other (Please Specify) E::::} \nA \u2014 sumame { MLoNT 0 Address \n{? Firstname | {2 ATR\\CH \/A =\" \nhrend \nT R l LR D D v AT \ni Ch Nlngmber I3 ls it | I|Zo|89 Al : . : \nE Lo Date of birth m&\ufb02 . LTEIerihone Number- l @22 ZS \u00e9ilig\ufb01 | \nR G e Rty (5] o Grealing e Ces \ni emzibna e e R \nD Dieow \n| ?g \n& @u r\\\u2019\\i}f Qo) DAY cases % \nL{\u2018? i S e e \u2014 e - e @g\ufb01%-\u2014\u2014\u00e9lb O\\ 3 H-\u2018 \ni - e 4 \nThe o \nSl B3I DisabilityJorghealt G ondition){folbelcompietea by Jobcentrelarus)) | \ne e 4 \n\": Brief outline of customer's current condition, tength of time of incapacity and treatment to date. \n. %. 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