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Get TN TPQVO Peer Reference Questionnaire

ROM: RE: The following health care professional has applied for appointment or reappointment to a health care organization client of the Tennessee Physicians' Quality Verification Organization. On his or her application you were listed as a professional reference. Enclosed is a copy of an authorization to release information. This statement authorizes you to respond to the following questions and releases you from liability if certain conditions of good faith and reasonableness are observed in .

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