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Office summitdmd.com 54177926341420 E. McAndrews Rd www.summitDMD.comCONSENT FOR USE AND DISCLOSURE OF HEALTH INFORMATION Medical Information Release Form (HIPPO Release Form) Name: Date of Birth:
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McAndrews Rd is a road located in the city of Apple Valley, California.
Businesses and individuals who own property or conduct business activities on McAndrews Rd may be required to file specific forms or reports related to their usage of the road.
To fill out McAndrews Rd forms, individuals and businesses must provide relevant information about their usage of the road, such as property ownership or business activities conducted.
The purpose of McAndrews Rd documentation is to track usage of the road, monitor property ownership and business activities, and ensure compliance with regulations and requirements.
Information such as property ownership details, business activities conducted on McAndrews Rd, and any relevant changes to usage or ownership must be reported on McAndrews Rd forms.
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