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The Next Level Sports Medicine James J. Lose MD FAA FP CASM 4095 Mallory Lane Franklin, TN 37067 Phone: 6158505290 Fax: 6157773702 www.thenextlevelsportsmedicine.comMEDICAL RECORDS RELEASE Date:___
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Start by entering your personal information in the designated fields, such as name, email address, and phone number.
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Provide information about your sports experience and skills. This may include listing the sports you have participated in, your achievements, and your current level of play.
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Fill out the section regarding your availability. Specify the days and times you are available to participate in sports activities.
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