INITIAL - VA Northern California Health Care System
VA Northern California Health Care System (NCHCS) 150 Muir Road . Martinez CA 94553. SUBJ: Declaration of Health. I, _____ hereby declare that, to the best of my knowledge, I do not have a physical or mental health condition that would adversely affect my ability to carry out the clinical privileges which I have requested from the VA Northern California Health Care System (NCHCS). ................
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