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Please identify the patient by providing the requested data.
If this is a medical or mental health emergency, please contact Emergency Medical Services (911) immediately and/or the statewide mental health crisis hotline at (988). Examples of medical and/or mental health emergencies include, but are not limited to: thoughts of self-harm or suicide or harm to others, difficulty breathing, shortness of breath chest or upper abdominal pain or pressure fainting, sudden dizziness, weakness, changes in vision, confusion or changes in mental status, any sudden or severe pain, uncontrolled bleeding, severe or persistent vomiting or diarrhea, coughing or vomiting blood, difficulty speaking, unusual abdominal pain. Even if you do not have these symptoms, but you think you are having a medical emergency, please contact 911 or the statewide mental health crisis hotline at 988.
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