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Directory Results for Authorization for Release of Medical Records_OGC-SF-2005 - uh to AUTHORIZATION FOR RELEASE OF MEDICAL STUDENT PERANCE EVALUATION (MSPE) I class of request and authorize the release (Print Name) of my Medical Student Performance Evaluation (MSPE) to the following Fellowship programs: Name: Department:

Authorization for Release of Medical Records_OGC-SF-2005 - uh
AUTHORIZATION FOR RELEASE OF MEDICAL REPORTS AND
AUTHORIZATION FOR RELEASE OF MEDICAL STUDENT PERANCE EVALUATION (MSPE) I class of request and authorize the release (Print Name) of my Medical Student Performance Evaluation (MSPE) to the following Fellowship programs: Name: Department: