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Effective as of January 1, 2006,
Please send all completed forms to:
Mailing Address:
UC Davis Health, Health Information Management
Medical/Legal Release of Information Unit
2315 Stockton Blvd.
Building
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Building 12 is a form that needs to be filled out to report certain information about a specific building.
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Owners or managers of the building are usually required to file building 12.
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