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Section A: This section must be completed for all Authorizations Patient Name: Date of Birth: Providers Name: Patients Phone: Last 4 digit SSN (optional): Recipients Name: Address 1: Providers Address:
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Section A typically refers to the first part or division of a form or document.
The individuals or entities specified in the instructions or guidelines for the form or document are required to file Section A.
Section A should be filled out according to the instructions provided in the form or document.
The purpose of Section A is to gather specific information or data required for the completion and processing of the form or document.
The specific information or data that must be reported on Section A will be outlined in the instructions or guidelines provided for the form or document.
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