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Brooklyn, NY 11219AUTHORIZATION FOR THE RELEASE OF PROTECTED HEALTH INFORMATION TO / FROM MAIMONIDES MEDICAL CENTER AND / OR MAIMONIDES FACULTY PRACTICE We understand that information about you and
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authorization-formpdf - maimonides medical is a form used by Maimonides Medical Center for authorizing certain medical procedures or treatments.
Patients or their authorized representatives are required to file authorization-formpdf - maimonides medical.
Authorization-formpdf - maimonides medical can be filled out by providing the patient's personal information, medical history, the procedure or treatment being authorized, and any other relevant details.
The purpose of authorization-formpdf - maimonides medical is to obtain consent for specific medical procedures or treatments from the patient or their representative.
Authorization-formpdf - maimonides medical must include the patient's name, date of birth, contact information, medical history, details of the procedure or treatment, and any additional comments or instructions.
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