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AUTHORIZATION FOR USE & DISCLOSURE OF PROTECTED HEALTH INFORMATIONAL SHORES PEDIATRICS, P.C.232 Office Park Drive, Gulf Shores, AL 36542Phone 2519682323 Fax 2519682134Amanda Calhoun Gold, MD___ Lee
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The wwwmsdhstatemsusmsdhsitestaticauthorization for form usedisclosure is a document used to authorize the disclosure of certain information.
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The purpose of the wwwmsdhstatemsusmsdhsitestaticauthorization for form usedisclosure is to allow the disclosure of specific information as requested.
The wwwmsdhstatemsusmsdhsitestaticauthorization for form usedisclosure requires the reporting of specific details or information as indicated on the form.
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