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  • Nemours Authorization Form - Nemours

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AUTHORIZATION TO USE/DISCLOSE PROTECTED HEALTH INFORMATION *01022* Patient Name: Date of Birth: Phone: Address: Fax I would like to receive these records via CD Paper MR# (Staff to Complete): Email.

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A. I. duPont may refer to: Alfred I. duPont (1864 – 1935), American industrialist, financier and philanthropist. Alexis I. duPont High School, public high school located in Greenville, Delaware, USA, a suburb of Wilmington.

de translates from. Nemours derives its origin from the early Roman word Nemora and means woods. It is not translated but rather a transliteration into French from language of the Romans.

Built to resemble a French château, its 105 rooms on four floors occupy nearly 47,000 sq ft (4,400 m2). It shares the grounds at 1600 Rockland Road with the Nemours Children's Hospital, Delaware, and both are owned by the Nemours Foundation.

Nemours Estate is the 222-acre estate of the late industrialist and philanthropist, Alfred I. duPont, founder of Nemours, and his wife, Jessie Ball duPont.

Our Locations Nemours has two state-of-the-art children's hospitals in addition to our outpatient locations in Delaware, New Jersey, Pennsylvania and Florida.

Thank you for trusting us with your child's care. Nemours is a general practice for newborns through age 18. You can turn to us for everything from wellness visits to treatment for conditions such as ADHD, allergies and asthma.

Nemours began with the vision of Alfred I. duPont to improve the lives of children. Now, more than 70 years later, our dedicated team of Associates has cared for millions of kids in our locations throughout Delaware, Florida, New Jersey and Pennsylvania.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232