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CARY HEALTHCARE ASSOCIATES, P.A. 222 ASHVILLE AVENUE, SUITE 10, CARY, NC 27518 (919) 2336000 FAX: (919) 2336052 AUTHORIZATION TO RELEASE MEDICAL INFORMATION______Print Patients Full NameBirth Date
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Formsforms for patients refers to specific documentation required for patients to provide necessary information for healthcare services or insurance claims.
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