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Authorization for Use and Disclosure of Protected Health Information, hereby authorize Edtech Imaging Center Inc. to disclose the following protected health information to: Records/Reports related
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First Choice Healthcare Solutions is a healthcare facility that provides medical services to patients.
Medical professionals and healthcare providers are required to file First Choice Healthcare Solutions.
First Choice Healthcare Solutions can be filled out online or through paper forms provided by the facility.
The purpose of First Choice Healthcare Solutions is to gather information about medical services provided to patients.
Information such as patient demographics, medical procedures performed, and insurance billing details must be reported on First Choice Healthcare Solutions.
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