This government document is issued by Department of Community Health for use in Georgia
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https://www.google.com/url?client=internal-element-cse&cx=450907bf5042c4844&q=https://dch.georgia.gov/document/document/opioid-mme-maximum-pa-form/download&sa=U&ved=2ahUKEwjyoc-n0ZaHAxUFh_0HHTaaAQg4RhAWegQIARAB&usg=AOvVaw3k4OipeKbxNUTwpQgEWsUQ&fexp=72519171,72519168