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Web this form was developed pursuant to: Web treatments and may be dependent on medical technology such as ventilators, dialysis machines, enteral or parenteral. No need to install software, just go to dochub, and sign up. Web this form was developed pursuant to: The form requires a physician's statement. Web the certificate form must be signed and returned to the utility company by a licensed medical professional. Web edit, sign, and share dominion energy medical form online. Web download a copy of the certification form under s erious medical condition form .