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Medical Release Form Patient Name: ___ Date of Birth: ___/___/___ Address: ___ City: ___ Zip Code: ___ Please choose release request: ___Full Record___Immunization Record OnlyINFORMATION REQUESTED
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Case 120-md-02974-lmm document 634 is a specific legal document related to a multi-district litigation case that deals with various claims and proceedings unified under this case number.
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