Chula Vista California Authorization for Medical Information

State:
Multi-State
City:
Chula Vista
Control #:
US-PI-0244
Format:
Word; 
Rich Text
Instant download

Description

This form is used to inform the plaintiff's medical provider that an attorney has been retained by plaintiff and that plaintiff authorizes the release to attorney of all of his or her medical records.
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Chula Vista California Authorization for Medical Information