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*AUTHORIZATION* FOR SOUTHWEST MEDICAL CENTER LIBERAL, KANSAS TO RELEASE MEDICAL INFORMATION Telephone: (620) 6296230 Fax: (620) 6292427 PHOTO IDENTIFICATION IS REQUIRED PATIENT NAME D.O.B. CURRENT
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Community Hospital - Southwest is a healthcare facility located in the southwestern region of the state.
Community Hospital - Southwest is required to file by the hospital administration or designated personnel.
Community Hospital - Southwest can be filled out electronically or on paper using the required forms provided by the healthcare governing body.
The purpose of Community Hospital - Southwest is to provide healthcare services to the community in the southwestern region.
Information such as patient demographics, medical services provided, financial data, and quality of care metrics must be reported on Community Hospital - Southwest.
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