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ISLAND KIDS PEDIATRICS, P.C. 2066 Richmond Avenue, S.I., NY 10314 Deniz Carb, M.D., F.AAP Jason Perelman, MD, FLAP Lucy Montreal, MD, FLAP Era Faking, MD, FLAP Human Rahman, DO, MAS Manna Cohen, MSN,
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The request and authorization form is used to grant permission for someone to access specific information or perform a certain task on behalf of the requester.
Anyone who needs someone else to act on their behalf or access sensitive information is required to file a request and authorization form.
The requester needs to provide their personal details, specify the task or information being requested, and grant permission to the authorized individual to act on their behalf.
The purpose of the request and authorization form is to ensure that only authorized individuals have access to sensitive information or are allowed to perform certain tasks.
The request and authorization form typically requires personal details of the requester, details of the authorized individual, and the specific task or information being requested.
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