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Wilson Woo MD PhD Medical Director Sabina Berretta MD Scientific Director McLean Hospital 115 Mill Street Mail Stop 138 Belmont MA 02478 I understand that I may withdraw this authorization at any time by submitting a written request to the Director of Medical Records. To the extent that my medical records may contain information regarding alcohol or drug treatment that is protected by Federal Regulation 42 CFR Part 2 I authorize disclosure of such information. HIV Information. To the extent...
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