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THORIZATION FOR RELEASE OF MEDICAL INFORMATION PURSUANT TO THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA)
The information collected on this form is necessary to determine applicant eligibility for airman ratings. We estimate it will take 30 minutes to complete this
Health Department Forms. AAS-59 Medical Day Inspection Information pdf fillable PDF form - The forms are now ONLY available for download on the EDRS System.