ction must: ■ be in writing ■ be signed and dated Loaf Af.%IOPTlm1P, Continued... EFTA00265819 i ' l l D I C / 4 C - B OS( 11/41-5-5 RJt N - THE S PEC teAc_t 67 (CAC MSC - Cc 1,1 Lay( CATICA -WV( FOR e-160( CAL Pe-01:4 NC, IT-AL R. --_ELITR AL 5.-r AKCETE_D tCT/ Iv/ M.S.I.0 MEDICAL SERVICES INFORMATI