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AUTHORIZATION TO RELEASE MEDICAL RECORDS/
I authorize any hospital, physician, medical facility, insurer or any other person that has knowledge relative to my claim to furnish information to the Georgia
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Legal Affairs | Consent for Authorization
This form authorizes the University System Office of the Board of Regents of the University System of Georgia to use, release, or disclose the protected health
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MINOR CONSENT TO MEDICAL TREATMENT LAWS
The said consent form and any other forms, transcript of evidence, or written findings and conclusions of a court, shall be confidential and may not be
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