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OFFICIAL USE ONLY Acct# Place on File Only: AUTHORIZATION TO RELEASE MEDICAL INFORMATION Please fax this release back to (918) 49493086475 South Yale Avenue, Suite 301 Tulsa, OK 74136 pH: (918) 494AOOK
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Place on file only refers to a specific procedure where a document is submitted for record-keeping purposes without requiring immediate action or approval.
Individuals or entities that need to formally document certain information for regulatory or compliance purposes are required to file place on file only.
To fill out place on file only, gather the required information, complete the designated form accurately, and submit it following the guidelines provided by the relevant authority.
The purpose of place on file only is to maintain a formal record of specific documents or information that may be needed for future reference or compliance verification.
Typically, information such as identifying details of the filer, nature of the filing, relevant dates, and any supporting documentation must be reported on place on file only.
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