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AUTORIZATIONFORRELEASEOFMEDICALRECORDS PatientInformation:___DOB:___SS#:___ (PRINTnameofpatient) Informationtobereleasedfrom:DedicatedWomensHealthSpecialists 17013rdSTSESuite200

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Form impact of covid-19 is a document used to report the financial impact of the COVID-19 pandemic on businesses.

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On form impact of covid-19, businesses must report details of the financial losses incurred due to the COVID-19 pandemic.

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