Release Of Information For Medical Records - Consent to Release of Employment Information and Release

State:
Multi-State
Control #:
US-00458
Format:
Word
Instant download

Description

Consentimiento del empleador actual o anterior para divulgar información Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.

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Release Of Information For Medical Records