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Effective Date: April 14, 2003, Golden Gate Pediatrics A Medical Corporation Patient Authorization for Use and Disclosure of Protected Health Information By signing this authorization, I authorize
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Medical Clinic of Jackson is a healthcare facility located in Jackson.
Medical Clinic of Jackson is required to file by the healthcare providers working at the clinic.
Medical Clinic of Jackson can be filled out online or by submitting the necessary documentation to the relevant authorities.
The purpose of Medical Clinic of Jackson is to ensure that healthcare providers are compliant with regulations and provide quality healthcare services to the community.
Information such as patient demographics, types of services provided, and medical billing information must be reported on Medical Clinic of Jackson.
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