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Parent/Guardian authorizing disclosure Signature of Member or Parent/Guardian authorizing disclosure Date Address City State Phone Section 2: Alliance Member Name of Alliance Member Member’s Alliance ID # Section 3: Type of Information I authorize the use and disclosure of any Personal Health Information, which includes treating providers of care, diagnoses, procedures, demographic information, claims for coverage or benefits, and receipt of any approvals or authorizations required for...
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Music in the 1800s physicians in Alameda and Contra Costa County formed the Alameda Contra Costa Medical Association a CCM a to address hEvalth issues of concern to patients and doctors in the East Bay and to improve public hEvalth the quality of practice of medicine and patients access to care my name is Arthur Chen I am currently the president of the Alameda Contra Costa County Medical Association the Av's MA represents 4,200 practicing physicians in Alameda and Contra Costa County we look at medical practice and trying to improve the quality of the practice amongst our profession in addition to maintaining high standards and trying to improve the hEvalth of our community well from the beginning I think you know because the Alliance is a homegrown hEvalth plan and borne out of the hEvalthcare services agency and public hEvalth it was a unique organization and the ACC ma you know had a role in supporting its development and also helping to shape and create its mission and vision to se

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