Authorization To Use Or Disclose Health Care Information
I Hereby Authorize The Doctors Clinic: or: Facility / Doctor’s Name this authorization is valid for 90 days from the date of signing. Health Information Management Department, 9621 Ridgetop Blvd NW, Silverdale, WA 98383 Phone: (360) 782-3724 Fax: (360) 782-3797 ... Get Doc
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