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12655 SW Center Street, Suite 150 Beaverton, Oregon 97005 Phone: 5038320945 Fax: 5034308125 www.coementalhealth.comAuthorization for Release of InformationNote: The Center of Excellence has revised
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COE medical release formdocx is a document used to authorize the release of medical information.
Individuals seeking medical records or information from a healthcare provider are required to file COE medical release formdocx.
COE medical release formdocx typically requires the individual's name, date of birth, contact information, healthcare provider's information, and specific information being requested.
The purpose of COE medical release formdocx is to authorize the release of medical information from a healthcare provider to a specified individual or entity.
Information such as the individual's name, date of birth, contact information, specific medical information being requested, and healthcare provider's information must be reported on COE medical release formdocx.
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