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Date: 2015-01-23 18:24:18 | Second Wind Lung Transplant Association, Inc. FINANCIAL ASSISTANCE FUND PATIENT RELEASE FORM PLEASE READ CAREFULLY BEFORE SIGNING The undersigned authorizes any physician or other provider of health services or any finanAdd to Reading ListSource URL: www.2ndwind.orgDownload Document from Source WebsiteFile Size: 40,34 KBShare Document on Facebook |