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Hunter don Otolaryngology & Allergy Associates Patient Authorization for Use & Disclosure of Protected Health Information (PHI) Patients Name: D.O.B: This authorization is given by: The patient Parent/Guardian
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Hunterdon Otolaryngology is a medical practice specializing in ear, nose, and throat disorders.
Patients who receive services from Hunterdon Otolaryngology are required to file their own medical records.
To fill out Hunterdon Otolaryngology forms, patients need to provide personal and medical information accurately.
The purpose of Hunterdon Otolaryngology forms is to document patient information, medical history, and treatment plans.
Information reported on Hunterdon Otolaryngology forms include patient demographics, medical history, current symptoms, and treatment received.
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