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F.R. Part 2 and the health Insurance Portability and Accountability Act of 1996 45 C. F.R. Pts. 160 164 and cannot be disclosed without my written consent unless otherwise provided for in the regulations. Viewing of my electronic medical record is valid for medical information that occurred prior to the date of this authorization. Viewing of any subsequent medical information will require a new authorization to be completed. RELEASE OF HIV/AIDS AND/OR GENETIC INFORMATION required for each...
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835 Worcester Street is the address of a specific location in Worcester, Massachusetts.
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