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CHILD STUDY AND TREATMENT CENTER 8805 Steilacoom Blvd. SW Lakewood, WA 984984771 Phone (253) 7562504 FAX (253) 7562654PATIENT\'S CONSENT AND DISCLOSURE OF RECORDS AND INFORMATIONI, ___hereby authorize:(Parent/Legal Guardian/Patient age 13 and over)Check one only:Patient Name:Birthdate:the disclosure of information bythe exchange of information between ___ the release of information toChild Study and Treatment Center, 8805 Steilacoom Blvd. SW, Lakewood, WA 984984771
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8805 Steilacoom Blvd is likely an address located in Steilacoom, Washington. It may refer to a residential or commercial property.
Individuals or entities associated with the property or business at 8805 Steilacoom Blvd may be required to file necessary documents relevant to zoning, taxes, or other legal obligations.
Filling out documentation related to 8805 Steilacoom Blvd typically involves providing specific information about the property, including ownership details and compliance with local regulations. Refer to local government or agency guidelines for exact instructions.
The purpose of 8805 Steilacoom Blvd may vary depending on the property, but it generally serves as a physical location for either residential living or commercial operations.
Information that must be reported typically includes ownership details, property use, zoning compliance, and any other relevant legal requirements dictated by local authorities.
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