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1401 Centerville Road, Suite 202 Tallahassee, Florida 323084638 (850) 8777241 (Main) (850) 8771338 (Fax) www.NFLWC.comAUTHORIZATION FOR RELEASE OF PROTECTED HEALTH INFORMATION Patients NameLastFirstPatient's
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Contact Us North Florida Women's refers to a health and social service organization focused on women's health issues in North Florida.
Individuals or organizations that provide specific health services or data regarding women's health in North Florida may be required to file.
To fill out contact usnorth florida womens, individuals must complete the designated forms, providing accurate information regarding their services and data in specified sections.
The purpose is to gather data and provide resources related to women's health in North Florida, improving services and outreach.
Information such as service types, patient demographics, health outcomes, and any funding or partnerships must be reported.
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