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Authority for Release of Medical Information

Medical Authorization Form For Pets In Phoenix

Category:

Releases and Waivers - Medical

State:

Multi-State

City:

Phoenix

Control #:

US-00426

Format:

Instant download

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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Follow the link below to complete our secure online PDF form to authorize the release of your medical records to Assistance Animals Consulting. Filling out the appropriate form prior to your appointment will greatly assist us in adding you and your pet to our system.These forms must be completed and returned to our office prior to scheduling your pets appointment. You may email them or return them in person. Save time at your next appointment! Please complete your required surgical intake form online from any device at any time before your visit. Fill out the Consent to Treatment form easily online and save time! Complete your required forms conveniently from any device, anytime before your visit. Fill out this form as completely and accurately as possible so we can get to know you and your pets before your visit.

Medical Authorization Form For Pets In Phoenix

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