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I hereby authorize Valley Children's Hospital to use and disclose a copy of the specific health information identified below f
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Children's Hospital Los Angeles Achieves Electronic Medical Records Milestone | Children's Hospital Los Angeles
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Authorization for the Use or Disclosure of Protected Health Information (Verbal Exchange and/or Medical Records) / /
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Medical Record Research Request
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Patient Request for Access Form
Requesting Medical Records | Shriners Children's
Primary Children's Outpatient Medical Records | Intermountain Healthcare
Children's Specialty Group, PLLC Release/Request for Medical Records
