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Office notes (except psychotherapy notes), test results, radiology studies, films, referrals, consults, billing records, insurance records, and records sent to you by other health care providers. x Other: ENTIRE MEDICAL FILE Include: (Indicate by Initialing) Alcohol/Drug Treatment Mental Health Information Authorization to Discuss Health Information Co) [] By initialing HI[V-Related Information here I authorize Initials to discuss my health information with my attorney, or a governmental Na.

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