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Authorization for Use or Disclosure of Protected Health Information I,ROI02, hereby authorize[Print Name of Individual (i.e., patient, resident or client)] Mercy Medical Center Redding St. Elizabeth
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Contact the Sisters of Mercy organization.
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Submit the completed application to the Sisters of Mercy.

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Our Sisters of Mercy is a religious organization founded by Catherine McAuley in Dublin, Ireland in 1831.
The Sisters of Mercy organization or their designated representatives are required to file Our Sisters of Mercy.
Our Sisters of Mercy can be filled out electronically or on paper by providing all the required information and details.
The purpose of Our Sisters of Mercy is to report on the religious activities, charitable works, and financial transactions of the Sisters of Mercy organization.
Information related to religious activities, charitable works, financial transactions, and governance structure must be reported on Our Sisters of Mercy.
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