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Aubrey K. Ewing, Ph.D. & Associates, P.A. 1230 So. Federal Hwy, Suite 101 Boynton Beach, FL 33435 561.7427122 Fax 561.742.7452 PERMISSION TO RELEASE PROTECTED HEALTH INFORMATION Patient×client name:
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Aubrey K refers to a specific tax form used for reporting certain income and expenses.
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