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I hereby authorize and consent to the Hospital s procurement of such a report. I understand that pursuant to the federal Fair Credit Reporting Act when the Hospital requests an investigative consumer report I have the right to demand a complete and accurate disclosure of the nature and scope of the investigation requested and a written summary of my rights under the Fair Credit Reporting Act. JACKSON GENERAL HOSPITAL Investigative Consumer Report Consent Form I understand that as a condition...
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Jackson General Hospital is a medical facility located in the city of Jackson.
The hospital administration or designated personnel are required to file Jackson General Hospital reports.
To fill out Jackson General Hospital reports, the designated personnel must gather and input relevant medical and administrative data.
The purpose of Jackson General Hospital is to provide medical care and treatment to patients in need.
Information such as patient demographics, medical treatments provided, and insurance billing details must be reported on Jackson General Hospital forms.
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