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Note: This information is collected under the authority of sections 20, 27(1)(f), 27(2) and 46 of the Health Information Act (HIA), sections 33(a) and 39(1)(a) of the Freedom of Information and Protection of Privacy (FOIP) Act, and the Mental Health Services Protection Act. Your information will be managed in accordance with the HIA and the FOIP Act. Should you have any questions about the collection, use, or disclosure of this information, you may contact Alberta Mental Health and Addiction Compliance and Monitoring at 780-427-8740 (310-0000 toll free) or Telus House - 13th Floor, 10020 100 Street, NW, Edmonton, AB, T5J 0N3.