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Consent to Access or Release Medical/Behavioral Health Records Today's Date: Expiration Date: The Center For Mental Health MAIL and FAX FOR ALL LOCATIONS: PO Box 529 Olathe, CO 81425 FAX: 9703236117Please
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An 'i request that complete' typically refers to a formal application or document submitted to request certain information or action, often related to tax, legal, or administrative purposes.
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Typically, the information required includes identification details, purpose of the request, relevant dates, financial information where applicable, and any supporting documents needed.
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