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Dr. Glenn A. Baker ChiropractorRELEASE OF RECORDSDate: To: Fax#: Patient Name: D.O.B.: Signature: I am requesting that any diagnostic testing results be faxed to:Colonia Spine and Wellness Center
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What is i am requesting that?
I am requesting that refers to a formal request for information or action.
Who is required to file i am requesting that?
The person or entity requesting the information or action is required to file I am requesting that.
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I am requesting that can be filled out by providing all necessary information and details in a clear and concise manner.
What is the purpose of i am requesting that?
The purpose of I am requesting that is to formally seek information or action from a specific individual or organization.
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The information that must be reported on I am requesting that will depend on the specific request being made.
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