Womack Army Medical Center Medical Records/x Raw Image:/11a5ced245f850225c25a3d0b88346850c2ccdcb1ef5d713e75934cbfb5f236f
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Womack Army Medical Center Medical Records/x Raw Image:/11a5ced245f850225c25a3d0b88346850c2ccdcb1ef5d713e75934cbfb5f236f
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Womack Army Medical Center Medical Records/x Raw Image:/11a5ced245f850225c25a3d0b88346850c2ccdcb1ef5d713e75934cbfb5f236f
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MEDICAL RECORDS RELEASE Pa�ent Name: DOB: I authorize the following custodian/en�ty to release the requested Medical Recor
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