![8932205-fillable-authorization-for-disclosure-of-health-information-from-thedacare-thedacare](https://cdn.cocodoc.com/cocodoc-form/png/8932205-fillable-authorization-for-disclosure-of-health-information-from-thedacare-thedacare-x-01.png)
thedacare medical records
Authorization for the disclosure of health information photocopy or facsimile of the original authorization will be considered as valid as the original patient patient name/ previous names associated with patient date of birth or medical record...
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