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Heart and Vascular Earhart and Vascular Care, Inc Phone: 678513CARE (2273) Fax: 6785138869 www.hvcmd.comAuthorization to Release or Request Health Information Last Name: First Name: Date of Birth:,
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Phone 678-513-care 2273 fax refers to a specific contact for fax communications related to healthcare services.
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Healthcare providers or organizations that need to report relevant information as per regulations are typically required to file.
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To fill out the fax, include necessary patient information, reporting details, and any required documentation as specified by the regulating body.
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The purpose is to facilitate communication and reporting between healthcare providers and regulatory agencies regarding patient care.
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Information typically includes patient identification, treatment details, and other relevant health information.
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