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Get Record Release Form ( PDF ) - Oak Orchard Community Health Center - Oakorchardhealth

OAK ORCHARD COMMUNITY HEALTH CENTER 300 West Avenue Brockport, NY 14420 Fax #: (585) 637-2375 301 West Avenue Albion, NY 14411 Fax # (585) 589-0872 AUTHORIZATION TO RELEASE PROTECTED HEALTH INFORMATION.

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