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Please print and mail to: NPF BA, PO Box 31, Martel, CA 95654 Authorization For Re lease Of Information HIPAA Compliant Part 1 Records Subject: Individual: AKA: Social Security Number: Date of Birth:
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Please print and mail refers to a form or document that needs to be physically printed, filled out, and sent via mail to the designated recipient.
Individuals or organizations who are instructed to do so by the issuer or recipient of the form.
To fill out please print and mail, you will need to print the form, complete all required fields with accurate information, and then send it via mail to the specified address.
The purpose of please print and mail is to collect specific information, provide documentation, or request a response in a physical format.
The information required on please print and mail will vary depending on the specific form or document being used.
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