Joan Cardone, MD 2025

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56 votes

The document is an 'Authorization for Release of Medical Information' form, allowing a patient to authorize the release of their medical records to specified individuals or entities. It includes sections for patient information, details on what records are to be disclosed, the purpose of the disclosure, and consent terms. The form emphasizes the patient's rights regarding revocation of authorization and confidentiality of sensitive health information.

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Versions	Form popularity	Fillable & printable
2021	4.1 Satisfied (56 Votes)
2009	4 Satisfied (33 Votes)

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