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MIDWESTORTHOPAEDICSATRUSH AUTHORIZATIONFORRELEASEOFPROTECTEDHEALTHINFORMATION Patients Name: (Print) Date of Birth: Address: Telephone #: City: State/Zip Code: Please note that there is a cost associated
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Midwest Orthopaedics at Rush is a renowned orthopedic practice based in Chicago.
Medical professionals at Midwest Orthopaedics at Rush are required to file the necessary paperwork.
To fill out Midwest Orthopaedics at Rush forms, one must provide accurate and detailed information regarding their orthopedic care.
The purpose of Midwest Orthopaedics at Rush is to provide exceptional orthopedic care to patients.
Information such as patient diagnosis, treatment plan, and follow-up care must be reported on Midwest Orthopaedics at Rush forms.
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