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Fred Leroy Health and Wellness Center Ponca Hills Health and Wellness Center 2602 J Street Omaha NE 68107 1800 Syracuse Ave Norfolk NE 68701 Authorization for RELEASE OF INFORMATION Signature of the patient is required of all patients 18 years of age or older. Unless otherwise revoked this authorization will expire on the following date event or condition. If I fail to specify an expiration date event or condition this authorization will expire in six months. 524. I understand that any...
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