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Authorization to Disclose Health Information
Samaritan Health Services, Release of Information, P.O. Box 2728, Corvallis, OR 97339
Fax: 5417689363 Phone: 5417685069
Please see page 2 for instructions
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What is 000693 -english -draft?
000693 -english -draft is a form used for reporting financial information in English.
Who is required to file 000693 -english -draft?
Companies and individuals who meet certain criteria are required to file 000693 -english -draft.
How to fill out 000693 -english -draft?
To fill out 000693 -english -draft, you must provide accurate financial information as per the instructions provided on the form.
What is the purpose of 000693 -english -draft?
The purpose of 000693 -english -draft is to provide financial transparency and accountability.
What information must be reported on 000693 -english -draft?
Information such as income, expenses, assets, and liabilities must be reported on 000693 -english -draft.
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