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Patient Label Here UNIVERSITY MEDICAL CENTER Lubbock, TexasDISCLOSURE AND CONSENT MEDICAL AND SURGICAL PROCEDURES TO THE PATIENT: You have the right as a patient to be informed about your condition
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Begin by obtaining an 'i we voluntarily request' form from the relevant authorities.
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Attach any supporting documents or evidence that may strengthen your case for the request, if required.
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Sign and date the form at the designated space.
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Await a response from the authorities regarding your voluntary request.

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I we voluntarily request is a form used to voluntarily provide information or request a specific action.
Individuals or entities who wish to disclose information or request action can voluntarily file i we request.
To fill out i we voluntarily request, you need to provide all the requested information accurately and completely.
The purpose of i we voluntarily request is to disclose information or request action voluntarily.
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