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I realize the authorization allows LMC Physician Practices to release any information to any of my insurers or physicians. 3314 Platt Springs Road West Columbia SC 29170 Ph 803 791-3494 Fx 803 739-9854 A Lexington Medical Center Physician Practice LFPWestColumbia.com Physician Network Authorization/Consent Form GENERAL AUTHORIZATION FOR TREATMENT/CONTACT I authorize physicians nurse practitioners mid wives and/or physician assistants of Lexington Family Practice West Columbia who may attend...
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