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Get the free How to Get Copies of Your Medical RecordsLawriter - OAC - Ohio Laws and RulesUnivers...

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Referral Source (Please Check One): Physician Self Operate: Contact Information Patients Name: Parents Name (if Client is a Minor): Race/Ethnicity: Date of Birth: Gender: Age: Street Address: City:
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It is a process of requesting duplicate documents or records.
Any individual or entity who needs duplicate copies of documents.
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The purpose is to obtain duplicate copies of important documents for record-keeping or reference.
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