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DR. CRYSTAL L. FRANKLIN 8247 Ocean Highway Parleys Island, SC 29585 Phone: 8433149064 8433149065 Fax: 8433149066 Authorization for Release of Medical Records Form Patients Name: Date of Birth: Address:
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Crystal l is a form used to report certain financial information to the government.
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Crystal l can be filled out online or submitted in paper form with all required financial information included.
The purpose of crystal l is to provide transparency and accountability in financial transactions.
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