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PATIENT AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION, hereby authorize Beacon Behavioral Health Associates, LLC (BBA) and/or Cheryl Greene 243 Main Street Buzzards Bay 02532 (phone) 5087435542,
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i hereby authorize beacon is a form that grants permission or consent for beacon technology to be used.
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Information such as the purpose of beacon technology use, data collected, and how it will be used must be reported on i hereby authorize beacon.
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