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GENERAL SURGICALAssociatesTELEPHONE (210) 6145113 FAX (210) 6160024 www.gsasa.comDear Patient, The physicians and staff of General Surgical Associates want to take this opportunity to welcome you

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What is 614-5113 consent form for?

The 614-5113 consent form is used to obtain consent from an individual or entity before disclosing their personal information.

Who is required to file 614-5113 consent form for?

Any individual or entity that needs to disclose personal information of another individual or entity is required to file the 614-5113 consent form.

How to fill out 614-5113 consent form for?

To fill out the 614-5113 consent form, you need to provide details of the personal information being disclosed, obtain consent from the individual or entity, and sign the form.

What is the purpose of 614-5113 consent form for?

The purpose of the 614-5113 consent form is to ensure that personal information is not disclosed without the consent of the individual or entity.

What information must be reported on 614-5113 consent form for?

The 614-5113 consent form must include details of the personal information being disclosed, the reason for disclosure, and the consent of the individual or entity.

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