A
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B
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C
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D
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E
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F
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G
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H
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I
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J
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K
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L
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M
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N
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O
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P
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Q
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R
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S
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T
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U
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V
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W
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X
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Y
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Z
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OTHER
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Directory Results for I, the undersigned, authorize the release of or request access to the ination specified below from the medical record (s) of the abovenamed patient to I, the undersigned, authorize the release of, or request access to the ination specified below from

I, the undersigned, authorize the release of or request access to the ination specified below from the medical record (s) of the abovenamed patient
I, the undersigned, authorize the release of, or request access to the ination specified below from