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Get MA EAEDC-Med Rpt 2009

Nd mental health care provider is a doctor, nurse, psychologist, psychiatrist, therapist, nurse practitioner, physical therapist, chiropractor, hospital, health center, clinic or other medical or mental health provider. 2. Fill out every section of the Medical Records Release Form. DES can only get your medical information if you fill out every section. DES will decide your case without the information if DES cannot get it. 3. Sign and date the Medical Records Release Form with a pen. Do not.

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