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Medical Authorization Form Texas In Chicago

Category:
Releases and Waivers - Medical
State:
Multi-State
City:
Chicago
Control #:
US-00426
Format:
Word; 
Rich Text
Instant download
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Description

Patient authorizes the physicians, medical attendants, and the hospital to furnish full and complete medical information to the specified attorney at law, or to any representative or investigator from his/her firm. The form also provides that all prior authorization is cancelled.
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Medical Authorization Form Texas In Chicago
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