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AUTHORIZATION OR RELEASE OF MEDICAL INFORMATION HEALTH INFORMATION SERVICES DEPARTMENT NOTICE: There will be a charge for a personal copy of your records. An outside Release of Information company

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Your lights of love is a form that allows you to report gifts or contributions to loved ones.

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Anyone who has given gifts or contributions to loved ones may be required to file a lights of love form.

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To fill out your lights of love form, you will need to provide information about the gifts or contributions you have made to loved ones.

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