This government document is issued by Public Health for use in Maricopa County, AZ
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https://www.google.com/url?client=internal-element-cse&cx=007218899975830598806:668akstzics&q=https://www.maricopa.gov/DocumentCenter/View/68436/ADHS-Acceptable-Use-Confidentiality-and-CAREWare-Agreement-Forms&sa=U&ved=2ahUKEwjw5bG6rPD5AhUKh_0HHdDUAU04MhAWegQIAxAB&usg=AOvVaw0P1Kz7uk3k8Nsm8SNVCLfo