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la tienda feliz
Monthly Giveaway
Every month we'll randomly select one family to receive a special prize.
Featured Prizes:
Nintendo Switch
iPad
LEGO set
Gift Card
Squishmallow
Every submission counts as one entry.
HIPAA DISCLOSURE AUTHORIZATION TO DISCLOSE PROTECTED HEALTH INFORMATION FOR MARKETING & MEDIA PURPOSES.
I hereby authorize Toys for Hospitalized Children and its employees to use and disclose to the public certain protected health information (“PHI”), as defined by the Health Insurance Portability and Accountability Act (“HIPAA”) and its implementing regulations (45 C.F.R. Part 164), of
The PHI that may be used and disclosed by Toys for Hospitalized Children
3 Ways to send us your photo: Option 1: Upload here Option 2: Text us at (917)-588-2304 Option 3: Send it on WhatsApp by clicking here
I confirm that to the best of my knowledge I am legally authorized to represent the interests of the above child.
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La renuncia debe ser firmada por un tutor mayor de 18 años.