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Get Scripps 100-8700-739SW 2018-2024

__ *Telephone: (_____)_____-____________ *Record Holder: Who has the information you want released? Scripps Health Healthcare facility if not Scripps (include Facility Name, MD office address): *I would like the Health Information: Mailed as a CD Paper E-Mailed Secured Un-Secured ** Faxed ** If sent by un-Secured email the information will not be encrypted, and could therefore be intercepted and viewed. Scripps is not responsible for unauthorized access of your health information while in t.

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