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File type: PDF
File page: 1 Page(s)
File size: 27KB
This Arkansas Authorization to Release or Obtain Medical Information form covers the part of patient's personal information, the recipient's information, the information of releasing organization, the release purpose, the release content, and the release statement. Besides, the template also provides the space for signatures of the patient or his legal representative and the witness. If you want to get this free file, please visit our website.
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