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Get Wellstar Discharge Papers 2020-2024

Cable: Last 4 digits of Social Security #: Street Address: City: Home / Cell Phone: State: ZIP: Work Phone: 1. WELLSTAR HEALTH SYSTEM: I authorize representatives from the following facility / facilities to disclose the above-named individual's health information as directed below (check one or more): Atlanta Medical Center Downtown North Fulton Hospital Sylvan Grove Hospital Atlanta Medical Center South Kennestone Regional Medical Center West Georgia Medical Center Cobb Hospital Pauldin.

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