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TEXAS Orthopedic ASSOCIATES, L.L.P. AUTHORIZATION TO DISCLOSE HEALTH INFORMATION I hereby authorize the use or disclosure of information from the medical record of: Patient Name Date of Birth I authorize
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Texas Orthopaedic Associates LLP is a medical practice specializing in orthopedic care.
Texas Orthopaedic Associates LLP is required to file by the designated partners or designated persons of the LLP.
To fill out Texas Orthopaedic Associates LLP, the designated partners or persons must gather all necessary financial and operational information and submit it according to the state regulations.
The purpose of Texas Orthopaedic Associates LLP is to provide orthopedic medical services to patients.
Information such as financial statements, partner information, operational details, and any other required information must be reported on Texas Orthopaedic Associates LLP form.
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