AUTHORIZATION FOR DISCLOSURE OF MEDICAL OR DENTAL INFORMATION

AMC Tripler-Shafter

This government document is issued by AMC Tripler-Shafter for use in District of Columbia

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File Details: PDF (71.9 KB)
Source
https://tripler.tricare.mil/Portals/138/dd2870%20Authorization%20for%20disclosure%20of%20Medical%20or%20Dental%20information.pdf

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