Nih 1208-2025

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The document is a request form for medical information from sources outside the National Institutes of Health (NIH). It requires completion of patient identification details, source of information, specific items requested, and authorization for release. The form is directed to the Medical Record Department at NIH and includes sections for military records if applicable.

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Versions	Form popularity	Fillable & printable
2013	4.8 Satisfied (47 Votes)

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