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MR×THE BRADLEY CENTER OF ST. Francisco×AUTHORIZATION: PRIVILEGED USE / DISCLOSURE OF Please complete the following section (print clearly)Patient\'s Last NameFirst NameMIBirth Date (Month/Day/Year)Street
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Form Bradley Center is a financial disclosure form required for certain individuals.
Individuals holding certain positions or having certain financial interests may be required to file Form Bradley Center.
Form Bradley Center can be filled out electronically or by hand, following the instructions provided by the issuing authority.
The purpose of Form Bradley Center is to provide transparency regarding financial interests and potential conflicts of interest.
Form Bradley Center typically requires information about sources of income, assets, and potential conflicts of interest.
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