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Designation of Person in Parental Relationship 2. Authorization for Release of Health Information Pursuant to HIPAA 3. Community Resource Center 134 Center Avenue Mamaroneck NY 10543 Phone 914. 835. 1512 March 19 2017 Immigration Clinic VOLUNTEER LAWYER FOR A DAY LIMITED SCOPE RETAINER AGREEMENT THIS IS AN AGREEMENT BETWEEN NAME OF CLIENT Client and NAME OF VOLUNTEER LAWYER Lawyer. You are responsible for meeting all Court dates if applicable and for filing deadlines. Nature of the Services...
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