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RAPPAHANNOCK AREA COMMUNITY SERVICES BOARD
AUTHORIZATION TO RELEASE CONFIDENTIAL INFORMATION
(Please check appropriate clinic and address)
Fredericksburg Clinic, 600 Jackson Street, Fredericksburg,
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Please check appropriate clinic refers to selecting the correct clinic or medical facility for a specific service or treatment.
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Patients or individuals seeking medical treatment are required to ensure they select the appropriate clinic for their needs.
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To fill out the please check appropriate clinic, individuals need to consider the type of medical service or treatment they require and choose the clinic that specializes in that area.
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The purpose of please check appropriate clinic is to ensure that individuals receive the most suitable medical care for their specific health needs.
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Individuals must provide information about their medical condition, treatment required, and any preferences or requirements they have for selecting the appropriate clinic.
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