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HEREBY REQUEST AND AUTHORIZE: AdventHealth Made City TO RELEASE THE HEALTH RECORDS SPECIFIED BELOW: (patient name)Date(s) of service:(date of birth)ALL GENERAL MEDICAL RECORDS OR LIMITED RECORDS (SPECIFY):
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What is i need access to?
I need access to is a form or process that allows users to gain permission to access certain resources or information.
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Any individual or entity that requires access to certain resources or information may be required to file i need access to.
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