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840 McConnell Ave, Cornwall, Ontario K6H 5S5 AUTHORIZATION FOR DISCLOSURE OF MEDICAL RECORD INFORMATIONPatient Name: Last Caregiver Name CPI #Date of BirthAddress: StreetCityProvincePostal CodeTelephone
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840 McConnell Ave, Cornwall refers to a specific address that may represent a residential or commercial property in Cornwall, Ontario, Canada.
Individuals or entities who own property or conduct business at 840 McConnell Ave, Cornwall may be required to file related documents, such as tax returns or municipal forms.
To fill out any required forms related to 840 McConnell Ave, Cornwall, follow the instructions provided by the local municipality or governing body, ensuring all requested information is accurately completed.
The purpose of 840 McConnell Ave, Cornwall would typically involve its use as a residential or commercial space, contributing to local zoning and property tax assessments.
Information that may need to be reported includes property ownership details, business operations, taxes owed, and compliance with local regulations.
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