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DR. HARLAN DAHLIAS MD AUTHORIZATION TO RELEASE PROTECTED HEALTH INFORMATIONPlease print Patient Another Last Names Date of birthstone NumberEmail Address Street Addressing, State, Zip co-transfer

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1. To fill out Dr. Harvan Nahmias MD form, follow these steps:
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5. Indicate any medications you are currently taking, including the dosage and frequency.
6. If applicable, provide details of any allergies or adverse reactions to medications.
7. Answer the questionnaire section related to your current health status and any symptoms you may be experiencing.
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What is dr harvan nahmias md?

Dr. Harvan Nahmias MD is a medical doctor specializing in internal medicine.

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Patients who receive medical services from Dr. Harvan Nahmias MD may be required to fill out the necessary paperwork.

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