Get the free Forms Library - Record Release Authorization.docx

EAR, NOSE & THROAT ASSOCIATES, P.C. ENT REALTY CORP., DBA THE SURGERY CENTER THE HEARING CENTERREQUEST/AUTHORIZATION TO RELEASE, COPY OR INSPECT PROTECTED HEALTH INFORMATIONPATIENT NAME: ID×DATE

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Forms library - record is a collection of documents or records used to keep track of forms related to a particular topic or subject.

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