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Fee Paid Yes No Date Completed PRAR Fire Report Deposit Completed By 01040404-511035-FD016 Subpena Medical Report Deposit 01040404-521020-FD013 Medical Records Only Release Form Yes No Death Certificate Yes No Subpena Issued Yes No Rev 05-20-15/da. 00 which represents the cost for duplication as set forth in Resolution 87-82. Checks should be made payable to the City of Newport Beach. If someone other than the patient is requesting copies of medical records a Medical Records Release Form is...

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How to fill out 949 644-3355 fax 949

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