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McNeel Eye Center Dr. Brian McNeel O. D. www. mcneeleyecenter. com 4270 N. Eagle Road Boise ID 83713 Phone 208. 938. 2010 Fax 208. 938. 2011 bmcneel mcneeleyecenter. com AUTHORIZATION TO RELEASE MEDICAL RECORDS Patient s Name Date of Birth Address Social Security I request and authorize the release of my healthcare information from Doctor s Name This request and authorization applies to Definition All medical records to include but not limited to - x-rays CT scans MRI MRA Carotid Ultrasound...
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Mcneel Eye Center 4270 is a form or document related to the Mcneel Eye Center.
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