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2222 W Division St, Suite 205 Chicago, IL 60622 T: (773) 2273303 F: (312) 5753507 www.mchavezmd.comAuthorization for Release of Medical Records Patient Name: Date of Birth: Phone: Address: City/State/Zip:
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Foot clinics - 2222 refers to a specific category or type of healthcare facility that specializes in the treatment and care of foot-related health issues.
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Information required on foot clinics - 2222 typically includes patient demographic details, diagnosis, treatment rendered, and any relevant medical history.
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