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Get and Sign Medical Records Release 2  Bellevue Family Practice PC  Form

Get and Sign Medical Records Release 2 Bellevue Family Practice PC Form

Create a custom bellevue hospital medical records 0 that meets your industry’s specifications.

MEDICAL RECORDS Patient name DOB I authorize information to be obtained from Bellevue Family Practice -orDoctor/Hospital name Street City State Zip Phone Fax And/Or Please release my records to Information to be obtained or released to include I authorize the release of Complete Medical Record Immunization Record Dates to Other the indicated sensitive records also patient to initial Mental Health Records HIV or AIDS....
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My name is Mary Cruz Fahad Asst I am a family medicine physician at Dupage Medical Group I was born in Peru and I moved to New Jersey when I was six I am married I have two little girls and my mom and dad are a big part of my family I speak Spanish fluently it was important to get to know my own language, and it's been very, very helpful now that I am practicing not only to be able to speak it but also to be, but I write and read it is all started off with my mom when I was very, very young she became very ill, and I was with her for most of her appointments I got to see a lot of the patient side I got to be the support for her and I think little by little my love of medicine just started there once I did go into medical school and when I did my family medicine rotation it my mind was just blown by how amazing it was I loved the fact that you were not just seeing a one single topic you were getting to see every age come into your office you have that kid that comes in and can barely sa

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