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AUTHORIZATION FOR RELEASE OF MEDICAL RECORDS (AUTHORIZATION PARA DIVULGATION de EXPEDIENTES MEDICOS)/ Print Patients Name/ Imprimis Hombre Del Patients/Date of Birth / Tech de NacimientoStreet Address,
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Westside Health Inc is a healthcare organization that provides medical services to the community.
Westside Health Inc is required to file annual reports with the appropriate regulatory bodies.
Westside Health Inc must be filled out with accurate financial and operational information about the organization.
The purpose of Westside Health Inc is to document the organization's activities and financial status.
Information such as revenue, expenses, patient numbers, services provided, and organizational structure must be reported on Westside Health Inc.
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