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OTHER
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Directory Results for Authorization is hereby given for , to act on the owner(s) behalf as agent in the appeal of the assessment of the property or properties listed below, located in Callaway County and owned by the undersigned to Authorization is hereby given to dispense the generic equivalent unless otherwise indicated by the physician

Authorization is hereby given for , to act on the owner(s) behalf as agent in the appeal of the assessment of the property or properties listed below, located in Callaway County and owned by the undersigned
Authorization is hereby given for the student named above to:
Authorization is hereby given to any provider of service, which participated in any way in my care, to release to the Blue Cross and/or
Authorization is hereby given to dispense the generic equivalent unless otherwise indicated by the physician