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256 Record Adult to Adult Proxy Release of Information …

WEBTitle (Microsoft Word - MyChart\256 Record Adult to Adult Proxy Release of Information Authorization Form.docx) Author: x5fa Created Date: 10/21/2020 6:20:41 PM

Actived: 4 days ago

URL: https://franciscanmychart.org/MyChart/FA_ProxROIAd.pdf

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WEBThis secure, electronic exchange of your record gives your care team information they need to give you safe and effective care, and allows MyChart to give you a more complete …

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