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University of Maryland Care ClinicAUTHORIZATION TO RELEASE AND/OR OBTAIN INFORMATION
I hereby authorize the University of Maryland's Care Clinic to obtain/release information as indicated below.
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Formsumd health center refers to a specific health assessment or reporting form used by healthcare providers to report patient information and services provided.
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The information that must be reported includes patient demographics, services provided, treatment outcomes, and any relevant health statistics.
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