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Virginia Pediatrics and Adolescent Medicine, PLC 5275 Lee Highway Suite 200 Arlington, VA 22207 (703)7174090 phone (703)7174091 fax GENERAL MEDICAL RECORD RELEASE AND AUTHORIZATION FOR USE OR DISCLOSURE
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Virginia Pediatrics and Adolescent refers to a medical practice specializing in healthcare for children and adolescents.
Healthcare providers who specialize in treating children and adolescents are required to file Virginia Pediatrics and Adolescent forms.
To fill out Virginia Pediatrics and Adolescent forms, healthcare providers must provide details about the medical services offered to children and adolescents.
The purpose of Virginia Pediatrics and Adolescent forms is to document medical care provided to children and adolescents in the state of Virginia.
Information such as patient demographics, medical treatments, and diagnoses must be reported on Virginia Pediatrics and Adolescent forms.
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