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Get Canada Alberta Health Services 18028 2015

Ay disclose the patient s/client s health information to someone else (unless Alberta s Health Information Act authorizes disclosure without consent). The information on this form, together with any record authorizing a representative to act on behalf of the patient/client, is being collected under part 3 of the Health Information Act for the purpose of recording the patient s/client s consent to the specified disclosure and will be filed on the patient/client record. For questions abo.

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