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me through the CalmiGo device or the CalmiGo mobile application, to UnitedHealth Group (“UHG"), which I understand
is the healthcare insurer that initially referred me to Dendro. I understand that UHG may use this information for
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privacy regulations. I may revoke this authorization at any time by notifying Dendro in writing at
support@calmigo.com. However, if I revoke this authorization, I understand that it will not have any effect on any
disclosures to UHG, which Dendro made before it received the revocation. I acknowledge that Dendro will not receive
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