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Womack Army Medical Center Medical Records/x Raw Image:/e0ea90231cb0fb0f68848f0235c6bb0715f23f965523a0e781026a1838b1141a/x Raw Image:/c63f2d8eeccb20b0618172f8782c6601e1e7db79004a280213aa4cd40a89a0f0
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Womack Army Medical Center Medical Records/x Raw Image:/e0ea90231cb0fb0f68848f0235c6bb0715f23f965523a0e781026a1838b1141a/x Raw Image:/c63f2d8eeccb20b0618172f8782c6601e1e7db79004a280213aa4cd40a89a0f0
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AUTHORIZATION: I give permission to use and release to Recipient Name: