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RECORDS RELEASE REQUEST (PLEASE PRINT) To: Fax #: Date: I hereby authorize the release of ALL my children medical records to: CENTER CITY PEDIATRICS BALL CROWD 146 MONTGOMERY AVE SUITE 200 BALL CROWD,
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Fax filing requirements may vary depending on the country or organization, but typically businesses and individuals may be required to file fax for certain legal or administrative purposes.
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The purpose of fax is to quickly transmit important documents or information over long distances without the need for physical delivery.
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The information required to be reported on a fax may include sender and recipient details, a cover page, and the document being transmitted.
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