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AUTHORIZATION TO RELEASE HEALTH INFORMATION
WEBI, the undersigned, authorize The MetroHealth System to release health information as indicated/described above. I understand and acknowledge that the requested health …
Actived: 7 days ago
URL: https://www.pandgreporting.com/pdfs/MetroHealth%20Authorization.pdf
DOCTOR/HOSPITAL/CLINIC PATIENT INFO
WEB29550 Detroit Road, Suite 203 Westlake, Ohio 44145 Phone: 216.870.2218 Website: www.pandgerporting.com Phone: 216.870.2218 [email protected] Fax: …
AUTHORIZATION TO DISCLOSE HEALTH INFORMATION
WEBHealth Information Management/Medical Record Department, Health Data Services Ab-7. Fax: 1-216-587-8043. Email: [email protected] 9500 Euclid Avenue, Cleveland, OH …
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