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Get CO InSight Vision Group Authorization For Release Of Medical Records 2016-2024

RELEASE MY MEDICAL RECORDS TO: InSight LASIK South 11961 Lioness Way Parker, CO 80134 Phone: 720-880-6455 Fax: 720-880-6460 InSight LASIK North 4430 Arapahoe Avenue Suite 155 Boulder, CO 80303 Phone: 303-402-1000 Fax: 303-593-2199 BY MY SIGNATURE, I AUTHORIZE RELEASE OF MY MEDICAL RECORDS including, but not limited to, progress notes, operative notes, laboratory results, and diagnostic tests. Patie.

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