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STANFORD HOSPITAL and CLINICS LUCILE PACKARD CHILDREN S HOSPITAL STANFORD CALIFORNIA 94305 Medical Record Number Patient Name CORE DATA REQUEST FOR RESTRICTIONS Addressograph or Label - Patient Name Medical Record Number You have the right to request restrictions on the ways in which Stanford Hospital and Clinics and Lucile Packard Children s Hospital the Hospital use and disclose your personal health information. The Hospital is not required to agree to your request. If the Hospital agrees...
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01
Start by gathering all the necessary information, including the person's full name, address, and contact details.
02
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03
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The nation's capital the summer of nineteen thirty-nine Congress in session voted on a bill to amend the social security act the vote in the house yeas 363 nays 2 in the Senate yeas 57 nays 3 the yeas' habit this new law moves benefits up to nineteen forty liberalize as the payments to workers provides benefits for survivors and brings millions of workers wives children and dependent parents under the Social Security program how does the family benefit under this act let us see the time is early fall in 1940 the place a local Social Security board office the characters speak for all the millions of workers and their families who now have this insurance protection Mrs. Jenkins has come to file a widow's claim she explains that her husband recently died at the age of 65 he had been receiving retirement benefits of thirty-six dollars a month since March 1940 she was getting another eighteen dollars because she too is past 65 now the question is since my husband died miss green I have to take care of myself will the government pay me more money yes Mrs. Jenkins since you have been receiving eighteen dollars a month this amount will be increased to twenty-seven dollars you see where is benefit is three-fourths of her husband's former benefit three-fourths of her husband's former benefit during widowhood Mrs. Jenkins will receive this upon filing a formal claim and providing evidence of her husband's death another claimant for survivors insurance Mr. Carriers he had been supported by his only daughter until her death now like many others he is alone without relatives too old to earn his own living, but his daughter was protected by the federal insurance system which will now provide for her father whatever her benefit would have been Mr. Carriers will get fifty percent of it every month for life meantime Mrs. Ellison young recently widowed has been seated at the first interviewers desk the interview is just being concluded well as the often that seems to be all we need here's your application for widows benefits and roots benefits as a dependent child statement from your husband's employer your marriage certificate and the certificate of your husband's that they're already and the monthly payments will go down into a worth of 16 until she's 18 if she stays in school, but that means as long as she's under your care, and you don't remarry or do a job that is covered by the insurance program in one case your benefits would stop, but roots would still go on of course if she should marry the payments would stop but since she's only ten I don't think you need to worry about that for a time no I should say not well times you don't much miss green this has been a lot easier than I expected goodbye Mrs. Ellison come in to see me anytime you have any questions to us good meanwhile in the office of the local manager Mr. and Mrs. Joe Johnson senior uncertain of the provisions of this new law have come in rather hesitatingly they are met courteously and placed at...

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The addressograph on record form is a document used to update and maintain accurate records of addresses for individuals or organizations.
Individuals or organizations that need to update their address information are required to file addressograph on record form.
To fill out the addressograph on record form, one must provide their current address information and any updated information, sign and date the form.
The purpose of the addressograph on record form is to ensure that accurate address information is maintained for individuals or organizations.
The information reported on the addressograph on record form includes current address, updated address, and contact information.
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