For information pursuant to 42 CFR Part 50, Subpart F, please complete the following information (* required)

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All requests will be processed within 5 business days upon receipt of your request. You will receive a confirmation email to the email address provided on this form. If you do not receive a confirmation email within 24 hours of your request you must resubmit your request.

For questions, please e-mail FCOI@joslin.harvard.edu