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Brooklyn, NY 11219AUTHORIZATION FOR THE RELEASE OF PROTECTED HEALTH INFORMATION TO / FROM MAIMONIDES MEDICAL CENTER AND / OR MAIMONIDES FACULTY PRACTICE AUTHORIZATION PARA LA DIVULGATION DE INFORMATION
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uheduclasscomdauthorization for release of is for releasing information or records to a specified party or entity.
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Information such as personal details, specific records to be released, and the authorized party or entity must be reported on uheduclasscomdauthorization for release of.
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