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REQUEST FOR ACCESS TO HEALTH INFORMATION All requests must be received with payment of $10.00 or records will not be sent. (Release to patient) Name: (Last) Date of Birth: Address: Day phone: (First)
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Who needs all requests must be? The individuals or organizations who require specific information, documentation, or actions to be taken are the ones who need all requests must be. This could include government agencies, employers, educational institutions, businesses, or any entity that has requested information or services from you. It is essential to comply with these requests in order to fulfill your obligations and meet the required standards or criteria.
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