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I give my consent to Dingmans Medical providers to see this protected health information.. Immunization registry I understand that Dingmans Medical participates in the Pennsylvania Dept. Providers using the electronic prescribing system through surescripts will be able to see my information about medications I am already taking including those prescribed by other providers. Permission to Fax Childhood Immunization Record to Schools I do hereby grant permission for Dingmans Medical to send or...
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