First Page | Document Content | |
---|---|---|
Date: 2015-06-15 05:39:08 | PRIVACY ACT STATEMENT - HEALTH CARE RECORDS THIS FORM IS NOT A CONSENT FORM TO RELEASE OR USE HEALTH CARE INFORMATION PERTAINING TO YOU. 1. AUTHORITY FOR COLLECTION OF INFORMATION INCLUDING SOCIAL SECURITY NUMBER (SSN) SAdd to Reading ListSource URL: armyrotc.fiu.eduDownload Document from Source WebsiteFile Size: 302,60 KBShare Document on Facebook |