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Pasco Family Physicians 18275 North 59th Avenue Building K, Suite 162 Glendale, AZ 85308 (602) 5478184 AUTHORIZATION FOR USE AND DISCLOSURE OF MEDICAL INFORMATION Patients Name: Date of Birth: I hereby
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How to fill out Paseo Family Physicians 18275:

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Start by getting the necessary forms from Paseo Family Physicians. These forms can be requested at their office or sometimes found on their website. Make sure you have the correct form labeled as "Paseo Family Physicians 18275."
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Begin with the personal information section. This typically includes your full name, date of birth, contact information, and insurance details. Make sure you provide accurate and up-to-date information.
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