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File type: PDF
File page: 1 Page(s)
File size: 21KB
This Maine Authorization to Release Medical Information and Records Form is a relatively detailed and comprehensive medical record release form which is under the law of Maine State. This template contains the part of patient's personal information, the information of the recipient, the release content, the release reason, and the release legal statement. This file also requires the signatures of the patient or the authorized representative and the witness. Also, this file is free for your reference.
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