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Womack Army Medical Center Medical Records/x Raw Image:/72cfa13a765c075dd9a67f9f105765e2ba383625d4f106ef29fe0faf2c158636/x Raw Image:/e5ca965fe0819c6f86db72a9876c40f24b9e90042c16b4825892ec1430264f81
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AUTHORIZATION: I give permission to use and release to Recipient Name:
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