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Comcllc.com Melinda Amato OTR/L CHT Valerie Peckingham PT PH 203. 265. 3280 FX 203. 741. 6569 Raymond Ryan PT/Director Daniel Harrigan PT MS Tracey Schippani PT Peter Ives PTA Patient Name DOB Date Phone Address Staff Initials City/State Zip Former Name s if any This Authorization allows Comprehensive Orthopaedics COMC to provide me or my designated representative my medical record information in paper or electronically as specified below. Aaron S Covey MD MBA Jeffrey T Pravda MD David...
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