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AUTHORIZATION TO
RELEASE PATIENT
INFORMATION
Central Records, Room B390
1011 N. University Street
Ann Arbor, MI 481091078
PH: 7347646152 FAX: 7346157040
I AUTHORIZE THE UNIVERSITY OF MICHIGAN SCHOOL
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03
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What is release revised052011?
The release revised052011 is a form used to report revised information related to a financial release.
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Any entity or individual who needs to update or revise previously reported financial information.
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The release revised052011 form typically requires filling out updated financial data and providing an explanation for the revisions.
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The purpose of release revised052011 is to ensure accurate and up-to-date financial information is reported.
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The form may require reporting revised financial statements, balance sheets, income statements, and other relevant financial data.
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