This form is a consent to the release of medical history. The patient authorizes the release of his/her medical history to the specified party within the consent release form. The form also provides that all prior authorizations are cancelled.
Consent Release Form With More Costly Wrapping In Oakland
State:
Multi-State
County:
Oakland
Control #:
US-00460
Format:
Word;
Rich Text
Instant download
Description
Free preview
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