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MINDFUL MINDS PSYCHIATRY 5994 South Holly St, Suite 1014 Greenwood Village, CO 80013 admin@mindfulmindspsychiatry.com O: 7204585413 F: 7208150397AUTHORIZATION TO RELEASE AND EXCHANGE PROTECTED HEALTH

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Mindful Minds Psychiatry 5994 is a specific form used for reporting mental health services provided by psychiatrists.

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