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RECORDS RELEASE DATE TO I hereby authorize you to release to Raymond Pekala MD 99 West Gate Dr 215 White Horse Pike Cherry Hill NJ 08034 Haddon Heights NJ 08035 Phone 856 428 1400 Phone 856 547 1646 Fax 856 428 9358 Fax 856 547 9138 Any information including the diagnosis and records of any treatment or examination rendered to me.
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What is 4records releasedocx?
4records releasedocx is a document used to record and release information related to records.
Who is required to file 4records releasedocx?
Anyone responsible for maintaining records and releasing them is required to file 4records releasedocx.
How to fill out 4records releasedocx?
To fill out 4records releasedocx, you must provide detailed information about the records being released.
What is the purpose of 4records releasedocx?
The purpose of 4records releasedocx is to document the release of records and ensure proper record-keeping procedures are followed.
What information must be reported on 4records releasedocx?
Information such as the type of records being released, the reason for release, and the recipient of the records must be reported on 4records releasedocx.
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