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Phone: 8174273376 Fax: 8174273379. AUTHORIZATION TO RELEASEMEDICAL RECORDS. I, the undersigned, hereby authorize: NorthstarDermatology. 5320 N. Tarrant Parkway, Ste. 200. Fort Worth, TX 76244. Fax
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Release recordspdfdocx is a document used to record the release of certain information or assets.
The individuals or entities responsible for the release of information or assets are required to file release recordspdfdocx.
Release recordspdfdocx can be filled out by providing the necessary information about the release, including details about the information or assets being released and the parties involved.
The purpose of release recordspdfdocx is to document and track the release of information or assets to ensure transparency and accountability.
Information such as the date of release, description of the information or assets released, parties involved, and any relevant terms or conditions must be reported on release recordspdfdocx.
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