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7813 Shrader Road Phone: 8042644545Henrico, Va 23294 Fax: 8042644260AUTHORIZATION FOR RELEASE OF INFORMATION Patients Name: ___Date of Birth: ___I hereby AUTHORIZE and give consent to: Name: ___ Address:
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Research different home dermatologists in your area by checking online reviews and asking for recommendations from friends or family.
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Home - dermatologist in refers to the classification or category of services provided by dermatologists within a home care setting, focusing on skin health and related treatments.
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Reported information should include patient demographics, specific services provided, treatment plans, clinician details, and any follow-up care recommendations.
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