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Womack Army Medical Center Medical Records/x Raw Image:/72cfa13a765c075dd9a67f9f105765e2ba383625d4f106ef29fe0faf2c158636/x Raw Image:/c63f2d8eeccb20b0618172f8782c6601e1e7db79004a280213aa4cd40a89a0f0
MEDICAL RECORDS RELEASE Pa�ent Name: DOB: I authorize the following custodian/en�ty to release the requested Medical Recor. Medical Records Release Letter Template Samples Letter Template.
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Womack Army Medical Center Medical Records/x Raw Image:/72cfa13a765c075dd9a67f9f105765e2ba383625d4f106ef29fe0faf2c158636/x Raw Image:/c63f2d8eeccb20b0618172f8782c6601e1e7db79004a280213aa4cd40a89a0f0
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MEDICAL RECORDS RELEASE Pa�ent Name: DOB: I authorize the following custodian/en�ty to release the requested Medical Recor