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Paul MN Quello Lakeville Clinic. If you do not identify a specific hospital or clinic e.g. Allina Hospitals Clinics records may be provided from ALL Allina hospitals or clinics where you have received care. Please see Allina.com/medical records for a listing of Allina hospital and clinic locations and addresses. ALLINA HOSPITALS CLINICS AUTHORIZATION TO RELEASE AND DISCLOSE PATIENT INFORMATION PATIENT INFORMATION NAME DATE OF BIRTH Address Day Phone City State Zip Clinic/Hospital/Health Care Pr ...

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