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FAN the FIRE YOUTH RALLY at St. Joseph Church, York, PA NOV. 16, 2013 LIABILITY/MEDICAL RELEASE FORM YOUTH PARTICIPANT ONE FORM MUST BE COMPLETED FOR EACH YOUTH ATTENDING! Participants Name Birth
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Nov 16 liabilitymedical release is a legal document that allows a person to release their medical information to a specified party.
The person who wants to release their medical information is required to file nov 16 liabilitymedical release.
To fill out nov 16 liabilitymedical release, one must provide their personal information, specify the party receiving the medical information, and sign the document.
The purpose of nov 16 liabilitymedical release is to authorize the release of medical information to a designated party for specific purposes.
The information reported on nov 16 liabilitymedical release typically includes the individual's name, date of birth, medical record number, and the specific information being released.
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