[PLACE PATIENT LABEL HERE] Authorization for Third Party Access to My CS-Link Account CHILD UNDER AGE 12 This form should be completed by a parent or permanent legal guardian (“Proxy”) who wants access to portions o

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Date: 2016-09-06 17:40:21		[PLACE PATIENT LABEL HERE] Authorization for Third Party Access to My CS-Link Account CHILD UNDER AGE 12 This form should be completed by a parent or permanent legal guardian (“Proxy”) who wants access to portions o Add to Reading List Source URL: www.cedars-sinai.edu Download Document from Source Website File Size: 128,31 KB Share Document on Facebook