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 Date: 2009-07-29 11:58:54Medicaid Medical record Health Medicine Technology Fax Office equipment |
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| First Page | Document Content | |
|---|---|---|
Date: 2009-07-29 11:58:54Medicaid Medical record Health Medicine Technology Fax Office equipment |
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MEDICAL RECORDS RELEASE FORM To further insure compliance with the “Health Insurance Portability Act of 1996”, River Radiology requests your written authorization to release health care information to outside health