Santa Clara Valley Medical Center Medical Records Release Form/x Raw Image:/597aa7d3a324f0bd7d3216002c3ea9ac5ab79d669c680d424a9a9ab34102d1b2/x Raw Image:/e5ca965fe0819c6f86db72a9876c40f24b9e90042c16b4825892ec1430264f81

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Santa Clara Valley Medical Center Medical Records Release Form/x Raw Image:/597aa7d3a324f0bd7d3216002c3ea9ac5ab79d669c680d424a9a9ab34102d1b2/x Raw Image:/e5ca965fe0819c6f86db72a9876c40f24b9e90042c16b4825892ec1430264f81

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AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION (Hospital)

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Santa Clara Valley Medical Center Medical Records Release Form/x Raw Image:/597aa7d3a324f0bd7d3216002c3ea9ac5ab79d669c680d424a9a9ab34102d1b2/x Raw Image:/e5ca965fe0819c6f86db72a9876c40f24b9e90042c16b4825892ec1430264f81

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