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Altos Cancer Center 310 North 11th St Beaumont, Texas 77702409.981.5510 Fax: 409.981.5511AUTHORIZATION TO RELEASE MEDICAL RECORDSPatient Name: Patient I. D: Date of Birth: / / SSN: I request and authorize
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Altus Cancer Center is a medical facility specializing in cancer treatment and care.
Healthcare providers and institutions involved in cancer treatment are required to file Altus Cancer Center.
Altus Cancer Center can be filled out online or through a designated form provided by the healthcare regulatory body.
Altus Cancer Center is used to track cancer patient data, treatment outcomes, and research purposes.
Information such as patient demographics, cancer type, treatment plan, and outcomes must be reported on Altus Cancer Center.
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