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TAKE NOTICE that pursuant to the provisions of The Health Services Insurance Act and its regulations, I hereby provide notice of my appeal to the Manitoba Health Appeal Board regarding the following decision made by:
Pursuant to Section 10(2) of The Health Services Insurance Act, an appeal must be commenced by mailing or delivering a notice of appeal to the Manitoba Health Appeal Board not more than 30 days after the date the appellant receives notice of the decision being appealed, or within such further time as the Board permits. If this 30-day notice requirement was not met on this appeal, in order for the Board to determine whether it will permit an extension of the filing time, you must provide a detailed written explanation for the late-filed appeal request.