Fort Worth Texas Authorization for Medical Information

Category:

Civil Actions - Personal Injury - Medical Records

State:

Multi-State

City:

Fort Worth

Control #:

US-PI-0244

Format:

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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Fort Worth Texas Authorization for Medical Information

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