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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 finan
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Document Date: 2015-01-23 18:24:18
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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 finan