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350 W. Kensington Rd. #102 Mt Prospect, IL 60056 (847) 2229060 www.apmt.usHIPAA Right of Access Form for Family Member/Friend, direct my health care and medical services providers and payers to disclose

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2. Start by obtaining the necessary forms and documents required for filling out the road application.
3. Read through the instructions carefully and ensure you understand the information needed to complete the form accurately.
4. Begin by providing your personal details such as name, contact information, and any other relevant information required.
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6. If there are any additional permits or clearances required, make sure to attach the necessary supporting documents.
7. Double-check all the information you have entered to ensure it is accurate and complete.
8. Submit the filled-out form along with any required fees to the designated authority or department responsible for road applications.
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10. Await a response from the authority regarding the approval or further steps required for filling out Kensington Rd.

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