Common Contracts

1 similar Controlled Substance Agreement contracts

Contract
Controlled Substance Agreement • July 3rd, 2018

The American Recovery and Reinvestment Act of 2009 requires that we gather additional information from you about your background. Thank you for answering the following three questions: 1. Race ☐ American Indian or Alaskan Native ☐ Asian☐ Unknown ☐ Black, African American ☐ White☐ Declined ☐ Native Hawaiian, Other Pacific Islander☐ Hispanic or Latino 2. Ethnicity ☐ Hispanic or Latino☐ Declined ☐ Non Hispanic or Non Latino☐ Unknown 3. Primary Language ☐ English ☐ Spanish ☐ Other

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