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Authorization to Disclose Protected Health Information The undersigned authorizes Chatham Orthopedic Associates 4425 Paulsen Street Savannah, GA 31405 pH (912) 3556615 option #8 Fax (912) 7212078
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The signature date on chathamorthopaedicscom is the date on which a person signs a document or form related to Chatham Orthopaedics.
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