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CA Natalie Armitstead Authorization To Release-Exchange Confidential Information 2013
Get CA Natalie Armitstead Authorization To Release-Exchange Confidential Information 2013-2024
Ial information obtained during the course of my treatment to (List name or entities to which information is to be released-exchanged): This Authorization permits the release-exchange of the following information: o Any and all information necessary o Treatment Plan o Diagnosis o Progress to date o Clinical test results o Dates of treatment o Client records o Summary of treatment o Other:.
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