Womack Army Medical Center Medical Records/x Raw Image:/11a5ced245f850225c25a3d0b88346850c2ccdcb1ef5d713e75934cbfb5f236f/x Raw Image:/6d9805e54363ce9ef3be6a78b9caaeb8737e625850f358e0ddf3cbbd989c0b75
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AUTHORIZATION: I give permission to use and release to Recipient Name:

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