Authorization for Release of Health Information I, __________________________________ hereby authorize Mines - Release agent - Document - PDFSEARCH.IO

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	Authorization for Release of Health Information I, __________________________________ hereby authorize Mines & Associates (MINES) or its agent(s) to disclose my health information as described i Add to Reading List Document Date: 2013-08-06 16:42:30 Open Document File Size: 144,48 KB Share Result on Facebook

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Authorization for Release of Health Information I, __________________________________ hereby authorize Mines & Associates (MINES) or its agent(s) to disclose my health information as described iAdd to Reading List