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Health Insurance Portability and Accountability Act / Social Security number / Military discharge / Veterans Benefits Administration / Law / Veteran / United States Department of Veterans Affairs / Government / Health


OMB Approved No[removed]Respondent Burden: 5 Mins. AUTHORIZATION AND CONSENT TO RELEASE INFORMATION TO THE DEPARTMENT OF VETERANS AFFAIRS (VA) Important Notice About Information Collection: We need this information to
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Document Date: 2013-05-01 10:24:51


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Company

Veterans / /

Country

United States / /

IndustryTerm

criminal law enforcement / Internet Page / congressional communications / /

MedicalCondition

injury / HIV / drug abuse / infection / sickle cell anemia / alcohol abuse / Illness / alcoholism / /

MedicalTreatment

psychotherapy / /

Organization

DEPARTMENT OF VETERANS AFFAIRS / Board of Veterans / VA Regional Office / Veterans Benefits Administration / /

/

Position

physician / LEGAL REPRESENTATIVE / /

ProvinceOrState

Virginia / /

URL

www.whitehouse.gov/library/omb/OMBINVC.html#VA / /

SocialTag