· DOthers (i.e. spouse, family, friends): I understand I have a right to revoke this...

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Transcript of  · DOthers (i.e. spouse, family, friends): I understand I have a right to revoke this...

Page 1:  · DOthers (i.e. spouse, family, friends): I understand I have a right to revoke this authorization in writing except to the extent that Bayfront Health Medical Group ...
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Page 3:  · DOthers (i.e. spouse, family, friends): I understand I have a right to revoke this authorization in writing except to the extent that Bayfront Health Medical Group ...
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