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South Carolina Authorization For Release of Medical Information 2011

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Template Details

File type: PDF

File page: 2 Page(s)

File size: 32KB

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This South Carolina Authorization for Release of Medical Information 2011 has two main sections. The first section is the general introduction and instruction on the following form, and the second section is the medical records release form. The form contains the part of the patient's information, dates of service, release content, recipient's information, purpose of disclosure, and legal statement. If this one can satisfy your need, you can download it from our website for free.

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