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OCT Official Form No.: 960AUTHORIZATION FOR RELEASE OF HEALTH INFORMATION PURSUANT TO HIPAA This form has been approved by the New York State Department of Health Patient Name Date of Biosocial Security
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www.rochesterregional.org is the official website for Rochester Regional Health, a healthcare system based in Rochester, New York.
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There is no requirement for filing www.rochesterregional.org as it is a website, not a legal document.
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There is no need to fill out www.rochesterregional.org as it is a website for accessing information about Rochester Regional Health.
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