Authorization to Release Health Care Information

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Authorization to Release Health Care Information Powered By Docstoc
					[Doctor Name] [Doctor Name] [Doctor Name] [Doctor Name] [Doctor Name] [Doctor Name] [Doctor Name] [Address], [City, ST ZIP Code] Phone: [Phone Number] Fax: [Fax Number]

AUTHORIZATION TO RELEASE HEALTH CARE INFORMATION
				
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posted:8/10/2009
language:English
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Description: A downloadable medical form, AUTHORIZATION TO RELEASE HEALTH CARE INFORMATION, can be opened and customized in your word processor. Add your logo, address, etc and print many copies for your patients.Click to Click Back to return.
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