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Welcome to our electronic signature service...
Please note that your continued use of this service constitutes your agreement to use electronic signatures in lieu of a paper document with a traditional hand-written signature. Electronic signatures are legally recognized throughout the United States. Your electronic signature will take place when you type your name and/or initials into the marked areas on the subsequent document(s) and then you click both the Review and Submit buttons on each document to indicate your agreement and/or authorization.
You also certify that these documents are intended for you and that you are authorized to sign the documents. If you have received these by mistake, please do not continue and email us or call (325) 245-3556 to report our error.
If you do not wish to sign these documents electronically, please contact us and do not continue with this process. However, we expect that you will prefer this free, easy-to-use, fast and environmentally sound option.
Document(s) for your review:
1. | Self-Carry/Administration of Medication Authorization for Inhalers, Insulin and Epi Pens | ![Fill out document PackageDocumentToDo](/SOSSA/images/PackageDocumentToDo/application_form_edit.png?ivid=db51e6be-8fef-42aa-a99f-e79dd24c0661) |