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AUTHORIZATION FOR THE RELEASE OF MEDICAL INFORMATION FROM FRY LABORATORIES, LLC Patient Last Name: Patient First Name: MI: Date of Birth: / / Telephone #: Address: Street: City: State: Zip: I hereby
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Information from Fry Laboratories includes test results, research findings, and data collected by the laboratory.
Any individual or organization that conducts tests or research at Fry Laboratories is required to file the information.
Information from Fry Laboratories can be filled out by submitting the necessary data and documentation to the specified department or regulatory body.
The purpose of information from Fry Laboratories is to ensure transparency, accuracy, and compliance with regulations in regards to test results and research findings.
All relevant test results, research findings, and data collected by Fry Laboratories must be reported on the information form.
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