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Jeffrey M. Gallup's, M.D., F.A.C.S. Mark M. Beat, M.D. Earnest C. Riley, M.D. Thomas N. Muffin, M.D. James G. Burton, M.D. N. Hadley Handel, M.D. Ronald J. Alvarez, M.D. Daniel G. Car others, M.D.
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The requesting party: If you are filling out the form on behalf of yourself, you will typically need a copy for your own records or personal use. Ensure that you designate yourself as the recipient if this is the case.
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It is essential to accurately identify and list all relevant parties who need to receive the copies to ensure that the release process runs smoothly and the copies reach the intended recipients in a timely manner.
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