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Get Ma Mads-mr 2010

Blank, this permission will not be valid, and the health-care provider will not be able to share your information with the MassHealth DES. If the health-care provider does not share medical information with the MassHealth DES, we will not be able to make a disability determination. General instructions for filling out the Medical Records Release Form You must follow these instructions when filling out the Medical Records Release Forms. The health-care providers will not send medical records to .

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