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PAPILLON DERMATOLOGY 2150 S. D OLSON R D SUITE #1 M ESA, AZ 85202 4808209774 FAX 4808970820A AUTHORIZATION TO RELEASE RECORDS Patient Name: Date of Birth: I hereby authorize: To send the following:
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The DOBSON RD refers to a specific form or document related to regulatory compliance that needs to be filed with a governing body.
Typically, individuals or entities that meet specific criteria set forth by regulatory authorities are required to file the DOBSON RD.
To fill out the DOBSON RD, one must complete the required fields accurately, providing all necessary information as specified in the instructions accompanying the form.
The purpose of the DOBSON RD is to ensure compliance with regulatory standards and provide necessary information to the governing authorities.
The DOBSON RD typically requires reporting of personal or business information, financial data, and other relevant details as dictated by the filing guidelines.
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