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AUTHORIZATION TO RELEASE MEDICAL RECORDS I, Who resides at city Odin than the state record HOLDER hereby authorize:Name:WACO FOOT & ANKLE, P.A. Address:201 COLONNADE PARKWAY, SUITE 100City:WOODWAYTEXASState:to
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www.getlegalforms.com authorization-release is for the release of legal forms.
Individuals or entities who need to release legal forms are required to file www.getlegalforms.com authorization-release.
You can fill out the authorization-release form by providing all the necessary information requested on the form.
The purpose of this form is to authorize the release of legal forms to specified individuals or entities.
The information reported on the form may include personal details, reason for release, and any specific instructions.
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