div class=trans-pagebutton class=gotoPage data-page=1Page 1button div class=trans-imageimg data-url=documentkm-c368-20180308160302-chiropractor-in-middlesboro-ky-authorization-and-releasehtmlpage=1 data-page=1 class=trans-thumb lazyload alt=Page 1: KM C368-20180308160302 - Chiropractor in Middlesboro KY · AUTHORIZATION AND RELEASE: I authorize payment of insurance benefits directly to the chiropractor or chiropractic office loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAQAAAC1HAwCAAAAC0lEQVR42mM8Uw8AAh0BTZud3BwAAAAASUVORK5CYII= data-src=https:reader033fdocumentsusreader033viewer20220502115f5d6597a1b5c52e1802c534html5thumbnails1jpg width=140 height=200 divdivdiv class=trans-pagebutton class=gotoPage data-page=2Page 2button div class=trans-imageimg data-url=documentkm-c368-20180308160302-chiropractor-in-middlesboro-ky-authorization-and-releasehtmlpage=2 data-page=2 class=trans-thumb lazyload alt=Page 2: KM C368-20180308160302 - Chiropractor in Middlesboro KY · AUTHORIZATION AND RELEASE: I authorize payment of insurance benefits directly to the chiropractor or chiropractic office loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAQAAAC1HAwCAAAAC0lEQVR42mM8Uw8AAh0BTZud3BwAAAAASUVORK5CYII= data-src=https:reader033fdocumentsusreader033viewer20220502115f5d6597a1b5c52e1802c534html5thumbnails2jpg width=140 height=200 divdivdiv class=trans-pagebutton class=gotoPage data-page=3Page 3button div class=trans-imageimg data-url=documentkm-c368-20180308160302-chiropractor-in-middlesboro-ky-authorization-and-releasehtmlpage=3 data-page=3 class=trans-thumb lazyload alt=Page 3: KM C368-20180308160302 - Chiropractor in Middlesboro KY · AUTHORIZATION AND RELEASE: I authorize payment of insurance benefits directly to the chiropractor or chiropractic office loading=lazy src=data:imagegifbase64iVBORw0KGgoAAAANSUhEUgAAAAEAAAABCAQAAAC1HAwCAAAAC0lEQVR42mM8Uw8AAh0BTZud3BwAAAAASUVORK5CYII=...