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Sonoran Medical Centers 19875 N. 51st Avenue Glendale, AZ 85308 Phone: (623) 5818998 Fax: (623) 5816461AUTHORIZATION FOR RELEASE OF MEDICAL RECORDSPatients Name: ___Date of Birth: ___ Phone:___ Address:
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Obtain the new patient forms from Sonoran Medical Centers either in person or online.
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Individuals who are new patients at Sonoran Medical Centers.
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Sonoran Medical Centers new is a new facility opened by Sonoran Medical Centers.
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The management or owners of Sonoran Medical Centers are required to file for the new facility.
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