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REQUEST FOR ACCESS TO A MEDICAL RECORD FOR WHICH THE COLL GE DES M DEC INS IS THE TRANSFEREE OR PROVISIONAL CUSTODIAN Return by mail to: Coll GE DES m begins Du EU BEC Executive Division Access to

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Form - request is used to formally request something from an individual or organization.

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The purpose of form - request is to formalize the process of requesting something in a clear and organized manner.

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