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C & C Medical Associates | HTTP://cc medical.org | email: info×cc medical.org | Tel: 4252432293RELEASE OF MEDICAL RECORDS: In accordance with the WA state law and regulatory agency requirements I
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Provide your personal information including your full name, date of birth, address, and contact details.
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Enter your medical history, including any pre-existing conditions, allergies, or medications you are currently taking.
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Next, provide the contact information of your primary care physician or regular healthcare provider.
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Indicate any specific medical treatments or procedures you would like to authorize or restrict.
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The medical-release-ccm reviseddoc is needed by individuals who want to authorize the release of their medical information to a designated recipient. This can include situations where a patient wants to share their medical history with a new doctor, grant permission for a family member or caregiver to access their medical records, or provide consent for a specific medical procedure. It is essential for anyone seeking medical care or requiring their medical information to be shared with others.
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medical-release-ccm reviseddoc is a document used to authorize the release of medical information.
Patients or individuals who want to authorize the release of their medical information are required to file medical-release-ccm reviseddoc.
To fill out medical-release-ccm reviseddoc, you need to provide your personal information, the information of the medical facility or professional you are authorizing to release information, and sign the document.
The purpose of medical-release-ccm reviseddoc is to give permission for the disclosure of medical records or information to a specified third party.
Information such as the name of the patient, the medical facility or professional authorized to release information, the specific information to be released, and the duration of the authorization must be reported on medical-release-ccm reviseddoc.
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