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AUTHORIZATION FOR RELEASE OF CONFIDENTIAL INFORMATION AND RECORDS I, authorize Monarch Therapy LLC DBA Monarch Wellness to (Client or Legal Guardian)release to/from: (Name of Individual/Organization
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Anyone who wishes to authorize Monarch Formrapy needs to fill out the 'I authorize monarch formrapy' form. This could include individuals who require Monarch Formrapy services for themselves or on behalf of someone else. It is important to review the specific requirements and criteria for authorizing Monarch Formrapy to determine if you are eligible to fill out this form.
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i authorize monarch formrapy is a form that gives permission to Monarch Therapy to provide therapy services.
Patients or guardians of patients who wish to receive therapy services from Monarch Therapy.
To fill out the form, you must provide your personal information, consent for therapy services, and any additional details requested by Monarch Therapy.
The purpose of the form is to grant permission for Monarch Therapy to provide therapy services to the patient.
Personal information, consent for therapy services, and any additional details requested by Monarch Therapy.
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