opt out alabamaonehealthrecord form

PATIENT REVOKE OPTOUT Date of Birth Patient Name Patient Address: Street, City, State, Zip Code Telephone Number Cell Phone Number Date Form Signed Email REVOKE OPTOUT. I previously elected to optout of OneHealthRecord but have changed my mind. As of today's date, I elect to REVOKE (cancel) my decision to OPTOUT of OneHealthRecord. I wish to participate in OneHealthRecord, and I understand my health information...
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opt out alabamaonehealthrecord
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