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Gary Y. Liao D. P. M. Diplomate ABPM Melissa S. Hill D. P. M. Diplomate ABPM Phillip E. Ward D. P. M. Revocation is not effective in cases where the information tion has already been disclosed but will be effective going forward. I may refuse to sign this authorization and that my treatment will not be conditioned on signing. I understand released information may include a communicable disease diagno diagnosis sis such as HIV. Diplomate ABPS ABPOPPM Authorization to release Protected Health...
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